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Building Inspection Checklist
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Unit
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2
Building Description
2
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3
Building ID
3
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4
Date
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Date
Month
Day
Year
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5
Inspector
First Name
Last Name
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6
Building Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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7
Site Work
Subdivision
Good
Fair
Poor
Comment
Backfill
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Surface drainage
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Manholes
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Ditches adjacent to building
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Trees and vegetation on site including hazard trees
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
General site maintenance
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Parking area if applicable
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Fences
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Poles
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
Railings
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
Building Accessibility (From Parking area to building)
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
Pathway & Sidewalks (width and ADA)
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Row 11, Column 3
Row 11, Column 4
Curbs
Row 12, Column 0
Row 12, Column 1
Row 12, Column 2
Row 12, Column 3
Row 12, Column 4
Signs
Row 13, Column 0
Row 13, Column 1
Row 13, Column 2
Row 13, Column 3
Row 13, Column 4
Stairs/Steps
Row 14, Column 0
Row 14, Column 1
Row 14, Column 2
Row 14, Column 3
Row 14, Column 4
Backfill
Surface drainage
Manholes
Ditches adjacent to building
Trees and vegetation on site including hazard trees
General site maintenance
Parking area if applicable
Fences
Poles
Railings
Building Accessibility (From Parking area to building)
Pathway & Sidewalks (width and ADA)
Curbs
Signs
Stairs/Steps
Subdivision
Row 0, Column 0
Good
Row 0, Column 1
Fair
Row 0, Column 2
Poor
Row 0, Column 3
Comment
Row 0, Column 4
Subdivision
Row 1, Column 0
Good
Row 1, Column 1
Fair
Row 1, Column 2
Poor
Row 1, Column 3
Comment
Row 1, Column 4
Subdivision
Row 2, Column 0
Good
Row 2, Column 1
Fair
Row 2, Column 2
Poor
Row 2, Column 3
Comment
Row 2, Column 4
Subdivision
Row 3, Column 0
Good
Row 3, Column 1
Fair
Row 3, Column 2
Poor
Row 3, Column 3
Comment
Row 3, Column 4
Subdivision
Row 4, Column 0
Good
Row 4, Column 1
Fair
Row 4, Column 2
Poor
Row 4, Column 3
Comment
Row 4, Column 4
Subdivision
Row 5, Column 0
Good
Row 5, Column 1
Fair
Row 5, Column 2
Poor
Row 5, Column 3
Comment
Row 5, Column 4
Subdivision
Row 6, Column 0
Good
Row 6, Column 1
Fair
Row 6, Column 2
Poor
Row 6, Column 3
Comment
Row 6, Column 4
Subdivision
Row 7, Column 0
Good
Row 7, Column 1
Fair
Row 7, Column 2
Poor
Row 7, Column 3
Comment
Row 7, Column 4
Subdivision
Row 8, Column 0
Good
Row 8, Column 1
Fair
Row 8, Column 2
Poor
Row 8, Column 3
Comment
Row 8, Column 4
Subdivision
Row 9, Column 0
Good
Row 9, Column 1
Fair
Row 9, Column 2
Poor
Row 9, Column 3
Comment
Row 9, Column 4
Subdivision
Row 10, Column 0
Good
Row 10, Column 1
Fair
Row 10, Column 2
Poor
Row 10, Column 3
Comment
Row 10, Column 4
Subdivision
Row 11, Column 0
Good
Row 11, Column 1
Fair
Row 11, Column 2
Poor
Row 11, Column 3
Comment
Row 11, Column 4
Subdivision
Row 12, Column 0
Good
Row 12, Column 1
Fair
Row 12, Column 2
Poor
Row 12, Column 3
Comment
Row 12, Column 4
Subdivision
Row 13, Column 0
Good
Row 13, Column 1
Fair
Row 13, Column 2
Poor
Row 13, Column 3
Comment
Row 13, Column 4
Subdivision
Row 14, Column 0
Good
Row 14, Column 1
Fair
Row 14, Column 2
Poor
Row 14, Column 3
Comment
Row 14, Column 4
1
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8
Mechanical Work
Subdivision
Good
Fair
Poor
Comment
Water supply
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Faucets
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Sinks
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Fixtures (Note type)
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Toilet Stool
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Hangers
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Composting Unit
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Vault (crack, leaks, capacity & material)
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Note dimensions and material type
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
SST Standards
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
Toilet paper dispenser
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
Floor drains
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Row 11, Column 3
Row 11, Column 4
Water supply
Faucets
Sinks
Fixtures (Note type)
Toilet Stool
Hangers
Composting Unit
Vault (crack, leaks, capacity & material)
Note dimensions and material type
SST Standards
Toilet paper dispenser
Floor drains
Subdivision
Row 0, Column 0
Good
Row 0, Column 1
Fair
Row 0, Column 2
Poor
Row 0, Column 3
Comment
Row 0, Column 4
Subdivision
Row 1, Column 0
Good
Row 1, Column 1
Fair
Row 1, Column 2
Poor
Row 1, Column 3
Comment
Row 1, Column 4
Subdivision
Row 2, Column 0
Good
Row 2, Column 1
Fair
Row 2, Column 2
Poor
Row 2, Column 3
Comment
Row 2, Column 4
Subdivision
Row 3, Column 0
Good
Row 3, Column 1
Fair
Row 3, Column 2
Poor
Row 3, Column 3
Comment
Row 3, Column 4
Subdivision
Row 4, Column 0
Good
Row 4, Column 1
Fair
Row 4, Column 2
Poor
Row 4, Column 3
Comment
Row 4, Column 4
Subdivision
Row 5, Column 0
Good
Row 5, Column 1
Fair
Row 5, Column 2
Poor
Row 5, Column 3
Comment
Row 5, Column 4
Subdivision
Row 6, Column 0
Good
Row 6, Column 1
Fair
Row 6, Column 2
Poor
Row 6, Column 3
Comment
Row 6, Column 4
Subdivision
Row 7, Column 0
Good
Row 7, Column 1
Fair
Row 7, Column 2
Poor
Row 7, Column 3
Comment
Row 7, Column 4
Subdivision
Row 8, Column 0
Good
Row 8, Column 1
Fair
Row 8, Column 2
Poor
Row 8, Column 3
Comment
Row 8, Column 4
Subdivision
Row 9, Column 0
Good
Row 9, Column 1
Fair
Row 9, Column 2
Poor
Row 9, Column 3
Comment
Row 9, Column 4
Subdivision
Row 10, Column 0
Good
Row 10, Column 1
Fair
Row 10, Column 2
Poor
Row 10, Column 3
Comment
Row 10, Column 4
Subdivision
Row 11, Column 0
Good
Row 11, Column 1
Fair
Row 11, Column 2
Poor
Row 11, Column 3
Comment
Row 11, Column 4
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9
Electrical Work
Subdivision
Good
Fair
Poor
Comment
Electrical service
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Fixtures
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Solar panels
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Batteries
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Switches
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Sensors
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Breaker panel/fuse boxes/disconnects
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Grounding
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Electrical service
Fixtures
Solar panels
Batteries
Switches
Sensors
Breaker panel/fuse boxes/disconnects
Grounding
Subdivision
Row 0, Column 0
Good
Row 0, Column 1
Fair
Row 0, Column 2
Poor
Row 0, Column 3
Comment
Row 0, Column 4
Subdivision
Row 1, Column 0
Good
Row 1, Column 1
Fair
Row 1, Column 2
Poor
Row 1, Column 3
Comment
Row 1, Column 4
Subdivision
Row 2, Column 0
Good
Row 2, Column 1
Fair
Row 2, Column 2
Poor
Row 2, Column 3
Comment
Row 2, Column 4
Subdivision
Row 3, Column 0
Good
Row 3, Column 1
Fair
Row 3, Column 2
Poor
Row 3, Column 3
Comment
Row 3, Column 4
Subdivision
Row 4, Column 0
Good
Row 4, Column 1
Fair
Row 4, Column 2
Poor
Row 4, Column 3
Comment
Row 4, Column 4
Subdivision
Row 5, Column 0
Good
Row 5, Column 1
Fair
Row 5, Column 2
Poor
Row 5, Column 3
Comment
Row 5, Column 4
Subdivision
Row 6, Column 0
Good
Row 6, Column 1
Fair
Row 6, Column 2
Poor
Row 6, Column 3
Comment
Row 6, Column 4
Subdivision
Row 7, Column 0
Good
Row 7, Column 1
Fair
Row 7, Column 2
Poor
Row 7, Column 3
Comment
Row 7, Column 4
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10
Site Work
Subdivision
Good
Fair
Poor
Comment
Backfill
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Surface drainage
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Manholes
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Ditches adjacent to building
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Trees and vegetation on site including hazard trees
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
General site maintenance
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Parking area if applicable
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Fences
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Poles
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
Railings
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
Building Accessibility (From Parking area to building)
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
Pathway & Sidewalks (width and
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Row 11, Column 3
Row 11, Column 4
ADA)
Row 12, Column 0
Row 12, Column 1
Row 12, Column 2
Row 12, Column 3
Row 12, Column 4
Curbs
Row 13, Column 0
Row 13, Column 1
Row 13, Column 2
Row 13, Column 3
Row 13, Column 4
Other items (list)
Row 14, Column 0
Row 14, Column 1
Row 14, Column 2
Row 14, Column 3
Row 14, Column 4
Signs
Row 15, Column 0
Row 15, Column 1
Row 15, Column 2
Row 15, Column 3
Row 15, Column 4
Stairs/Steps
Row 16, Column 0
Row 16, Column 1
Row 16, Column 2
Row 16, Column 3
Row 16, Column 4
Backfill
Surface drainage
Manholes
Ditches adjacent to building
Trees and vegetation on site including hazard trees
General site maintenance
Parking area if applicable
Fences
Poles
Railings
Building Accessibility (From Parking area to building)
Pathway & Sidewalks (width and
ADA)
Curbs
Other items (list)
Signs
Stairs/Steps
Subdivision
Row 0, Column 0
Good
Row 0, Column 1
Fair
Row 0, Column 2
Poor
Row 0, Column 3
Comment
Row 0, Column 4
Subdivision
Row 1, Column 0
Good
Row 1, Column 1
Fair
Row 1, Column 2
Poor
Row 1, Column 3
Comment
Row 1, Column 4
Subdivision
Row 2, Column 0
Good
Row 2, Column 1
Fair
Row 2, Column 2
Poor
Row 2, Column 3
Comment
Row 2, Column 4
Subdivision
Row 3, Column 0
Good
Row 3, Column 1
Fair
Row 3, Column 2
Poor
Row 3, Column 3
Comment
Row 3, Column 4
Subdivision
Row 4, Column 0
Good
Row 4, Column 1
Fair
Row 4, Column 2
Poor
Row 4, Column 3
Comment
Row 4, Column 4
Subdivision
Row 5, Column 0
Good
Row 5, Column 1
Fair
Row 5, Column 2
Poor
Row 5, Column 3
Comment
Row 5, Column 4
Subdivision
Row 6, Column 0
Good
Row 6, Column 1
Fair
Row 6, Column 2
Poor
Row 6, Column 3
Comment
Row 6, Column 4
Subdivision
Row 7, Column 0
Good
Row 7, Column 1
Fair
Row 7, Column 2
Poor
Row 7, Column 3
Comment
Row 7, Column 4
Subdivision
Row 8, Column 0
Good
Row 8, Column 1
Fair
Row 8, Column 2
Poor
Row 8, Column 3
Comment
Row 8, Column 4
Subdivision
Row 9, Column 0
Good
Row 9, Column 1
Fair
Row 9, Column 2
Poor
Row 9, Column 3
Comment
Row 9, Column 4
Subdivision
Row 10, Column 0
Good
Row 10, Column 1
Fair
Row 10, Column 2
Poor
Row 10, Column 3
Comment
Row 10, Column 4
Subdivision
Row 11, Column 0
Good
Row 11, Column 1
Fair
Row 11, Column 2
Poor
Row 11, Column 3
Comment
Row 11, Column 4
Subdivision
Row 12, Column 0
Good
Row 12, Column 1
Fair
Row 12, Column 2
Poor
Row 12, Column 3
Comment
Row 12, Column 4
Subdivision
Row 13, Column 0
Good
Row 13, Column 1
Fair
Row 13, Column 2
Poor
Row 13, Column 3
Comment
Row 13, Column 4
Subdivision
Row 14, Column 0
Good
Row 14, Column 1
Fair
Row 14, Column 2
Poor
Row 14, Column 3
Comment
Row 14, Column 4
Subdivision
Row 15, Column 0
Good
Row 15, Column 1
Fair
Row 15, Column 2
Poor
Row 15, Column 3
Comment
Row 15, Column 4
Subdivision
Row 16, Column 0
Good
Row 16, Column 1
Fair
Row 16, Column 2
Poor
Row 16, Column 3
Comment
Row 16, Column 4
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Day
Year
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First Name
Last Name
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