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DocuSign Envelope ID:81 A8F7FF-A308-48A7-BD1 1-B27A2662836B <br /> DEAPR-PARKS FACILITY MAINTENANCE CHECK LIST-BLACKWOOD FARM PARK <br /> Description: Monthly Facility Check Date Scheduled: 2/24/2020 <br /> Status: open: ❑ Completed: ® Requested By: Scheduled Monthly <br /> Inspector: Keith Barnhardt Asset ID: 4215 NC 86 S <br /> Date Completed: 2/24/2020 Asset Description: Blackwood Farm <br /> Task ID: FEXT-012565 - Task Desc: Mth-Fire Ext-Construction Trailer On Wall <br /> Details: Tag Date OK: Yes: ® No: ❑ Pressure OK Per Guage: Yes: M No: ❑ <br /> Any Damage: Yes: ❑ No: ® Repairs needed: ' <br /> Task ID: FEXT-012566 Task Desc: Mth-Fire Ext-House Main Floor Kitchen ' <br /> Details: Tag Date OK: Yes: ❑ No: ❑ Pressure OK Per Guage: Yes: ❑ No: ❑ <br /> Any Damage: Yes: ❑ No: ❑ Repairs needed: Office Building Not Used Since 11/2018 <br /> Task ID: FEXT-012567 Task Desc: Mth-Fire Ext-House Upstairs Hallway <br /> Details: Tag Date OK: Yes: ❑ No: ❑ Pressure OK Per Guage: Yes: ❑ No: ❑ <br /> Any Damage: Yes: ❑ No: ❑ Repairs needed: Office Building Not Used Since 11/2018 <br /> Task ID: FF-XT-012568 Task Desc: Mth-Fire Ext-Barn <br /> Details: Tag OK: Yes: ® No: ❑ Pressure OK Per Guage: Yes: ® Na: ❑ <br /> Any Damage: Yes: ❑ No: M Repairs needed: Click here to enter text. 1 <br /> Task ID: REST-012569 Task Desc: Mth-House Restrm-Upstairs <br /> r <br /> Details: Perform Visual Inspection of Plumbing Fixtures/Valves: Yes: ❑ No: ❑ <br /> i <br /> Repairs needed: Office Building Not Used Since 11/2018 <br /> Task ID: REST-012570 Task Desc: Mth-House Restrm-Main Floor <br /> I' <br /> I <br /> Details: Perform Visual Inspection of Plumbing Fixtures/Valves: Yes: ❑ No: ❑ <br /> Repairs needed: Office Building Not Used Since 11/2018 , <br /> Task ID: HWH-012571 Task Desc: Mth-Hot Water Heater-House Kitchen Annex <br /> Details: Perform Visual Inspection of Plumbing Fixtures/Valves: Yes: ❑ No: ❑ i <br /> Leaks Detected: Yes: ❑ No: ❑ Service Needed: Yes: ❑ No: ❑ <br />