THE HONG KONG POLYTECHNIC UNIVERSITY UNIVERSITY HOUSE Hall Management Section (SAO) Inventory Checklist for UH Transit Flats 1. Name of Tenant: Flat No.: Check-in Date: Check-out Date: Meters Reading At Check-in Date At Check-out Date Water: Gas: Electricity: 2. Qty. Key list Check-out Received Returned 2.1 Permanent main door keys □ □ 2.2 Room1 door keys □ □ Room2 door keys □ □ Room3 door keys □ □ Room4 door keys □ □ 2.3 Store room keys (inside) □ □ 2.4 Toilet door keys □ □ 2.5 Mailbox keys □ □ □ □ 1 □ □ 7 □ □ 1 □ □ 3. Blank Smart-cards 4. Loose parts 4.1 Catalogue and operation manual for AC unit (Set) 4.2 Remote control w/ battery for AC unit 4.3 5. Check-in Type 1 controller: for ASHA07LACM & ASH09LACM & ASWA09J Catalogue and operation manual for Toilet & Kitchen Exhaust Fan (Set) 4.4 Catalogue and operation manual for Kitchen Range Hood (Set) 1 □ □ 4.5 Shower set for bath tub 2 □ □ 4.6 Pop-up unit for wash hand basin 2 □ □ 4.7 Pop-up unit for kitchen sink 2 □ □ 4.8 Pop-up unit for bath tub 2 □ □ 4.9 Special key to operate bathroom window 1 □ □ Water heater Manual 5.1 TGC RJW150 SFD Water Heater Handbook 1 □ □ 5.2 TGC NJW220 Water Heater Handbook 1 □ □ UH_TF_Checklist/04032014 1 6. Furniture 7. 6.1 Alder Wood Double Bed (frame) 62.25”x77.25”x39” 1 □ □ 6.2 Mattress 60”x75”x8.5” 1 □ □ 6.4 Alder Wood Single Bed (frame) 38.25”x77.25” 3 □ □ 6.5 Mattress 36”x75”x8.5” 3 □ □ 6.7 Alder Wood Desk 4 □ □ 6.9 Alder Wood Dining Table 68”x30”x30” 1 □ □ 6.10 Alder Wood Dining Chair 17”x18”x33” 10 □ □ 6.11 Alder Wood Cabinet 24”x16”x75” 2 □ □ 6.12 Alder Wood Display Cabinet 27”x16”x75” 4 □ □ 6.13 Alder Wood Coffee Table 36”x20”x18” 1 □ □ 6.14 Alder Shoe Cabinet 42”x41”x16” 1 □ □ 6.15 Alder Bed Side Cabinet 3 □ □ 6.17 Alder Corner Table 28”x28”x18” 1 □ □ 6.19 Sofa (3 Seats) 76”x35”x35” 1 □ □ 6.20 Sofa (1 Seat) 1 □ □ 6.21 Alder Wood Sideboard 72”x18”x22” 1 □ □ 6.22 Alder Wood Wadrobe 48”x24”xH87” 2 □ □ 36”x20”x30” 20”x21.5”x16” 40”x”x35”x35” Electric Appliances 7.1 Refrigerator Panasonic – NRC37BMH-S3 1 □ □ 7.2 Microware Panasonic – NNCS599S 1 □ □ 7.3 Washing Machine Zanussi – ZKN7147J 1 □ □ 7.4 Panasonic LED TV 42” THL42E6H 1 □ □ Town gas equipment (photo in attachment 1) 8. 9. 8.1 Enamelled Cover 4 □ □ 8.2 Burner Head 4 □ □ 8.3 Pan support 2 □ □ 8.4 Work support 1 □ □ 8.5 Spit 1 □ □ 8.6 Shield 1 □ □ 8.7 Oven shelf 1 □ □ 8.8 Aluminum cake or pizza tray 1 □ □ 8.9 Drip pan 1 □ □ 8.10 Drip pan (Base) 1 □ □ 8.11 Handbook 1 □ □ Others: UH_TF_Checklist/04032014 2 This is to certify that I have properly received upon check-in the abovementioned items for the unit allocated, and I understand I shall return these items intact upon my future moving-out date and be liable for any replacement cost in case of any loss or damage beyond normal wear and tear. Signature of Tenant Date Signature/Name of the staff in witness on behalf of Hall Management Section This is to certify that I have properly returned upon check-out the abovementioned items for the unit allocated, and I shall be liable for any replacement cost for the loss or damage beyond normal wear and tear. Signature of Tenant Date Signature/Name of the staff in witness on behalf of Hall Management Section Attachment 1 UH_TF_Checklist/04032014 3
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