+---+---------------------------------+---+---+---+-----+------------+
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| ( |                                 |   |   |   |     |            |
| b |                                 |   |   |   |     |            |
| ) |                                 |   |   |   |     |            |
| P |                                 |   |   |   |     |            |
| u |                                 |   |   |   |     |            |
| l |                                 |   |   |   |     |            |
| l |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| b |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| v |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| o |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| y |                                 |   |   |   |     |            |
| . |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Is pull tab inventory           | \ | \ | \ | 54  |            |
| \ | (including unused tickets)      | _ | _ | _ | 2.8 |            |
| . | controlled, so as to assure the | \ | \ | \ | (b) |            |
|   | integrity of the pull tabs?     | _ | _ | _ | (1) |            |
|   | (Inquiry and review             | \ | \ | \ |     |            |
|   | other-perpetual inventory       | _ | _ | _ |     |            |
|   | records) (Issued tickets must   | \ | \ | \ |     |            |
|   | be controlled and unissued must | _ | _ | _ |     |            |
|   | have perpetual inventory        |   |   |   |     |            |
|   | records.)                       |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | Are purchased pull-tabs         | \ | \ | \ | 54  |            |
| \ | inventoried and secured by a    | _ | _ | _ | 2.8 |            |
| . | person or persons independent   | \ | \ | \ | (b) |            |
|   | of the pull-tab sales?          | _ | _ | _ | (2) |            |
|   | (Inquiry)                       | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 3 | Is the issuance of pull-tabs to | \ | \ | \ | 54  |            |
| \ | the cashier or sales location   | _ | _ | _ | 2.8 |            |
| . | documented and signed for by    | \ | \ | \ | (b) |            |
|   | the person responsible for      | _ | _ | _ | (3) |            |
|   | inventory control and the       | \ | \ | \ |     |            |
|   | cashier? (Review supporting     | _ | _ | _ |     |            |
|   | documentation)                  | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 4 | Does the document log include   | \ | \ | \ | 54  |            |
| \ | the serial number of the        | _ | _ | _ | 2.8 |            |
| . | pull-tabs issued? (Review       | \ | \ | \ | (b) |            |
|   | supporting documentation)       | _ | _ | _ | (3) |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 5 | Is the appropriate              | \ | \ | \ | 54  |            |
| \ | documentation given to the      | _ | _ | _ | 2.8 |            |
| . | redemption booth for purposes   | \ | \ | \ | (b) |            |
|   | of determining if the winner    | _ | _ | _ | (4) |            |
|   | purchased the pull-tab that was | \ | \ | \ |     |            |
|   | issued by the gaming operation  | _ | _ | _ |     |            |
|   | (Note: Electronic verification  | \ | \ | \ |     |            |
|   | satisfies this requirement)?    | _ | _ | _ |     |            |
|   | (Inquiry)                       |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 6 | At the end of each month, does  | \ | \ | \ | 54  |            |
| \ | a person or persons independent | _ | _ | _ | 2.8 |            |
| . | of pull tab sales and inventory | \ | \ | \ | (b) |            |
|   | control verify the accuracy of  | _ | _ | _ | (5) |            |
|   | the ending balance in the       | \ | \ | \ |     |            |
|   | pull-tab control by reconciling | _ | _ | _ |     |            |
|   | the pull-tabs on hand (physical | \ | \ | \ |     |            |
|   | inventory and compare to        | _ | _ | _ |     |            |
|   | perpetual inventory records)?   |   |   |   |     |            |
|   | (Inquiry and review supporting  |   |   |   |     |            |
|   | documentation)                  |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 7 | Is a comparison done monthly,   | \ | \ | \ | 54  |            |
| \ | of the amount of pull-tabs sold | _ | _ | _ | 2.8 |            |
| . | from the pull-tab control log   | \ | \ | \ | (b) |            |
|   | to the amount of revenue        | _ | _ | _ | (6) |            |
|   | recognized, for reasonableness? | \ | \ | \ |     |            |
|   | (Review supporting              | _ | _ | _ |     |            |
|   | documentation)                  | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| ( |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| ) |                                 |   |   |   |     |            |
| A |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| . |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 8 | Is access to pull tabs          | \ | \ | \ | 54  |            |
| \ | restricted to authorized        | _ | _ | _ | 2.8 |            |
| . | persons? (Inquiry)              | \ | \ | \ | (c) |            |
|   |                                 | _ | _ | _ | (1) |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| ( |                                 |   |   |   |     |            |
| d |                                 |   |   |   |     |            |
| ) |                                 |   |   |   |     |            |
| T |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| f |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| . |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 9 | Are transfers of pull-tabs from | \ | \ | \ | 54  |            |
| \ | storage to the sale location    | _ | _ | _ | 2.8 |            |
| . | secured and independently       | \ | \ | \ | (d) |            |
|   | controlled (independent         | _ | _ | _ | (1) |            |
|   | observer required)? (Inquiry)   | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| ( |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| ) |                                 |   |   |   |     |            |
| W |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| g |                                 |   |   |   |     |            |
| p |                                 |   |   |   |     |            |
| u |                                 |   |   |   |     |            |
| l |                                 |   |   |   |     |            |
| l |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| b |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| . |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are winning pull tabs verified  | \ | \ | \ | 54  |            |
| 0 | and paid as follows:            | _ | _ | _ | 2.8 |            |
| \ | (Examination of records)        | \ | \ | \ | (e) |            |
| . |                                 | _ | _ | _ | (1) |            |
|   | Are payouts in excess of a      | \ | \ | \ | (i) |            |
|   | dollar amount determined by the | _ | _ | _ |     |            |
|   | gaming operation verified by at | \ | \ | \ |     |            |
|   | least two employees? State the  | _ | _ | _ |     |            |
|   | dollar                          |   |   |   |     |            |
|   | amoun                           |   |   |   |     |            |
|   | t\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |     |            |
|   | (and include in Comment         |   |   |   |     |            |
|   | Section). (More than \$100      |   |   |   |     |            |
|   | considered unreasonable)        |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are winning pull tabs verified  | \ | \ | \ | 54  |            |
| 1 | and paid as follows:            | _ | _ | _ | 2.8 |            |
| \ | (Examination of records)        | \ | \ | \ | (e) |            |
| . |                                 | _ | _ | _ | (1) |            |
|   | Did the gaming operation        | \ | \ | \ | (i) |            |
|   | receive approval for the        | _ | _ | _ |     |            |
|   | predetermined dollar amount?    | \ | \ | \ |     |            |
|   | (Review TGRA approval)          | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are winning pull tabs verified  | \ | \ | \ | 542 |            |
| 2 | and paid as follows:            | _ | _ | _ | .8( |            |
| \ | (Examination of records)        | \ | \ | \ | e)( |            |
| . |                                 | _ | _ | _ | 1)( |            |
|   | Are total payouts computed and  | \ | \ | \ | ii) |            |
|   | recorded by shift?              | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are winning pull tabs verified  | \ | \ | \ | 5   |            |
| 3 | and paid as follows:            | _ | _ | _ | 42. |            |
| \ | (Examination of records)        | \ | \ | \ | 8(e |            |
| . |                                 | _ | _ | _ | )(1 |            |
|   | Are winning pull-tabs voided so | \ | \ | \ | )(i |            |
|   | that they cannot be presented   | _ | _ | _ | ii) |            |
|   | for payment again?              | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Do personnel independent of     | \ | \ | \ | 54  |            |
| 4 | pull-tab operations verify the  | _ | _ | _ | 2.8 |            |
| \ | amount of winning pull-tabs     | \ | \ | \ | (e) |            |
| . | redeemed each day? (Inquiry)    | _ | _ | _ | (2) |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| ( |                                 |   |   |   |     |            |
| f |                                 |   |   |   |     |            |
| ) |                                 |   |   |   |     |            |
| A |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| o |                                 |   |   |   |     |            |
| u |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| b |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| l |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| y |                                 |   |   |   |     |            |
| f |                                 |   |   |   |     |            |
| o |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| m |                                 |   |   |   |     |            |
| . |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are all funds used to operate   | \ | \ | \ | 54  |            |
| 5 | the pull tabs game recorded on  | _ | _ | _ | 2.8 |            |
| \ | an accountability form?         | \ | \ | \ | (f) |            |
| . | (Examination of records)        | _ | _ | _ | (1) |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are all funds used to operate   | \ | \ | \ | 54  |            |
| 6 | the pull tab game counted       | _ | _ | _ | 2.8 |            |
| \ | independently by at least two   | \ | \ | \ | (f) |            |
| . | persons and reconciled to the   | _ | _ | _ | (2) |            |
|   | recorded amounts at the end of  | \ | \ | \ |     |            |
|   | each shift or session?          | _ | _ | _ |     |            |
|   | (Examination of records) (Note: | \ | \ | \ |     |            |
|   | Unverified transfers of cash    | _ | _ | _ |     |            |
|   | and/or cash equivalents are     |   |   |   |     |            |
|   | prohibited.)(Revised 8/12/2005) |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| ( |                                 |   |   |   |     |            |
| g |                                 |   |   |   |     |            |
| ) |                                 |   |   |   |     |            |
| S |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| d |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| d |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| f |                                 |   |   |   |     |            |
| o |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| l |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| p |                                 |   |   |   |     |            |
| o |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| . |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are records maintained which    | \ | \ | \ | 54  |            |
| 7 | include win, write (sales) and  | _ | _ | _ | 2.8 |            |
| \ | a win to write hold percentage  | \ | \ | \ | (g) |            |
| . | as compared to the theoretical  | _ | _ | _ | (1) |            |
|   | hold percentage derived from    | \ | \ | \ | (i) |            |
|   | the flare for each deal or type | _ | _ | _ |     |            |
|   | of game for the following:      | \ | \ | \ |     |            |
|   | (Examination of records)        | _ | _ | _ |     |            |
|   |                                 |   |   |   |     |            |
|   | Each shift?                     |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are records maintained which    | \ | \ | \ | 542 |            |
| 8 | include win, write (sales) and  | _ | _ | _ | .8( |            |
| \ | a win to write hold percentage  | \ | \ | \ | g)( |            |
| . | as compared to the theoretical  | _ | _ | _ | 1)( |            |
|   | hold percentage derived from    | \ | \ | \ | ii) |            |
|   | the flare for each deal or type | _ | _ | _ |     |            |
|   | of game for the following:      | \ | \ | \ |     |            |
|   | (Examination of records)        | _ | _ | _ |     |            |
|   |                                 |   |   |   |     |            |
|   | Each day?                       |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 1 | Are records maintained which    | \ | \ | \ | 5   |            |
| 9 | include win, write (sales) and  | _ | _ | _ | 42. |            |
| \ | a win to write hold percentage  | \ | \ | \ | 8(g |            |
| . | as compared to the theoretical  | _ | _ | _ | )(1 |            |
|   | hold percentage derived from    | \ | \ | \ | )(i |            |
|   | the flare for each deal or type | _ | _ | _ | ii) |            |
|   | of game for the following:      | \ | \ | \ |     |            |
|   | (Examination of records)        | _ | _ | _ |     |            |
|   |                                 |   |   |   |     |            |
|   | Month-to-date?                  |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | Are records maintained which    | \ | \ | \ | 542 |            |
| 0 | include win, write (sales) and  | _ | _ | _ | .8( |            |
| \ | a win to write hold percentage  | \ | \ | \ | g)( |            |
| . | as compared to the theoretical  | _ | _ | _ | 1)( |            |
|   | hold percentage derived from    | \ | \ | \ | iv) |            |
|   | the flare for each deal or type | _ | _ | _ |     |            |
|   | of game for the following:      | \ | \ | \ |     |            |
|   | (Examination of records)        | _ | _ | _ |     |            |
|   |                                 |   |   |   |     |            |
|   | Year-to-date or fiscal          |   |   |   |     |            |
|   | year-to-date as applicable?     |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | Is pull-tab statistical         | \ | \ | \ | 54  |            |
| 1 | information reviewed by a       | _ | _ | _ | 2.8 |            |
| \ | manager independent of pull-tab | \ | \ | \ | (g) |            |
| . | operations at least on a        | _ | _ | _ | (2) |            |
|   | monthly basis and               | \ | \ | \ |     |            |
|   | investigations performed for    | _ | _ | _ |     |            |
|   | large or unusual statistical    | \ | \ | \ |     |            |
|   | fluctuations? (Examination of   | _ | _ | _ |     |            |
|   | records)                        |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | Are the statistical             | \ | \ | \ | 54  |            |
| 2 | investigations documented and   | _ | _ | _ | 2.8 |            |
| \ | maintained for inspection?      | \ | \ | \ | (g) |            |
| . | (Examination of records)        | _ | _ | _ | (2) |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | Is the pull-tab statistical     | \ | \ | \ | 54  |            |
| 3 | information provided to the     | _ | _ | _ | 2.8 |            |
| \ | TGRA upon request? (Inquiry)    | \ | \ | \ | (g) |            |
| . |                                 | _ | _ | _ | (2) |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | Are significant variations      | \ | \ | \ | 54  |            |
| 4 | (+-3%) investigated?            | _ | _ | _ | 2.8 |            |
| \ | (Examination of records and     | \ | \ | \ | (g) |            |
| . | inquiry)                        | _ | _ | _ | (3) |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
|   |                                 | \ | \ | \ |     |            |
|   |                                 | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| ( |                                 |   |   |   |     |            |
| h |                                 |   |   |   |     |            |
| ) |                                 |   |   |   |     |            |
| E |                                 |   |   |   |     |            |
| l |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| o |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| q |                                 |   |   |   |     |            |
| u |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| p |                                 |   |   |   |     |            |
| m |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| . |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | If the gaming operation         | \ | \ | \ | 54  |            |
| 5 | utilizes electronic equipment   | _ | _ | _ | 2.8 |            |
| \ | in connection with the play of  | \ | \ | \ | (h) |            |
| . | pull tabs, then the following   | _ | _ | _ | (1) |            |
|   | standards shall also apply.     | \ | \ | \ | (i) |            |
|   |                                 | _ | _ | _ |     |            |
|   | If the electronic equipment     | \ | \ | \ |     |            |
|   | contains a bill acceptor,       | _ | _ | _ |     |            |
|   | complete §542.21(e) and (f),    |   |   |   |     |            |
|   | §542.31(e) and (f), or          |   |   |   |     |            |
|   | §542.41(e) and (f)(as           |   |   |   |     |            |
|   | applicable). (N/A and YES       |   |   |   |     |            |
|   | answers only)(Revised 5/4/05)   |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | If the gaming operation         | \ | \ | \ | 542 |            |
| 6 | utilizes electronic equipment   | _ | _ | _ | .8( |            |
| \ | in connection with the play of  | \ | \ | \ | h)( |            |
| . | pull tabs, then the following   | _ | _ | _ | 1)( |            |
|   | standards shall also apply.     | \ | \ | \ | ii) |            |
|   |                                 | _ | _ | _ |     |            |
|   | If the electronic equipment     | \ | \ | \ |     |            |
|   | uses a bar code or microchip    | _ | _ | _ |     |            |
|   | reader, is the reader tested    |   |   |   |     |            |
|   | periodically by a person or     |   |   |   |     |            |
|   | persons independent of the      |   |   |   |     |            |
|   | bingo department to determine   |   |   |   |     |            |
|   | that it is correctly reading    |   |   |   |     |            |
|   | the bar code or the microchip   |   |   |   |     |            |
|   | (at a minimum, each microchip   |   |   |   |     |            |
|   | reader be tested annually)?     |   |   |   |     |            |
|   | (Inquiry and review supporting  |   |   |   |     |            |
|   | documentation)                  |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | If the gaming operation         | \ | \ | \ | 5   |            |
| 7 | utilizes electronic equipment   | _ | _ | _ | 42. |            |
| \ | in connection with the play of  | \ | \ | \ | 8(h |            |
| . | pull tabs, then the following   | _ | _ | _ | )(1 |            |
|   | standards shall also apply.     | \ | \ | \ | )(i |            |
|   |                                 | _ | _ | _ | ii) |            |
|   | If the electronic equipment     | \ | \ | \ |     |            |
|   | returns a voucher or a payment  | _ | _ | _ |     |            |
|   | slip to the player, complete    |   |   |   |     |            |
|   | §542.13(n) (as applicable)?     |   |   |   |     |            |
|   | (N/A and YES answers only)      |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| ( |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| ) |                                 |   |   |   |     |            |
| C |                                 |   |   |   |     |            |
| o |                                 |   |   |   |     |            |
| m |                                 |   |   |   |     |            |
| p |                                 |   |   |   |     |            |
| u |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| e |                                 |   |   |   |     |            |
| r |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| p |                                 |   |   |   |     |            |
| p |                                 |   |   |   |     |            |
| l |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| c |                                 |   |   |   |     |            |
| a |                                 |   |   |   |     |            |
| t |                                 |   |   |   |     |            |
| i |                                 |   |   |   |     |            |
| o |                                 |   |   |   |     |            |
| n |                                 |   |   |   |     |            |
| s |                                 |   |   |   |     |            |
| . |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
| * |                                 |   |   |   |     |            |
+---+---------------------------------+---+---+---+-----+------------+
| 2 | If the gaming operation is      | \ | \ | \ | 54  |            |
| 8 | utilizing any computer          | _ | _ | _ | 2.8 |            |
| \ | applications with alternative   | \ | \ | \ | (a) |            |
| . | documentation and/or            | _ | _ | _ |     |            |
|   | procedures, did the gaming      | \ | \ | \ |     |            |
|   | operation receive approval for  | _ | _ | _ |     |            |
|   | such procedures? (Review TGRA   | \ | \ | \ |     |            |
|   | approval)                       | _ | _ | _ |     |            |
+---+---------------------------------+---+---+---+-----+------------+