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DocuSign Envelope ID:81 A8F7FF-A308-48A7-BD1 1-B27A2662836B <br /> DEAPR-PARKS FACILITY MAINTENANCE CHECK LIST-CEDAR GROVE SHOP AND PICNIC AREAS <br /> (Monthly Inspection Does Not include Community Center) <br /> Description: Monthly Facility Check Date Scheduled: 2/24/2020 <br /> Status: Open: ❑ Completed: ® Requested By: Scheduled Monthly <br /> Inspector: R.R. Asset ID: 5800 NC 86 N <br /> Date Completed: 2/24/2020 Asset Description: Cedar Grove Park <br /> Task ID: FEXT-012573 Task Desc: Mth-Fire Ext-Shop Inside Near Entry Door <br /> Details: Tag Date OK: Yes: ® No: ❑ Pressure OK Per Guage: Yes: ® No: ❑ <br /> Any Damage: Yes: ❑ No: N Repairs needed: Click here to enter text. <br /> Task ID: Rest-012574 Task Desc: Mth-Picnic Shelter Men's Restroom <br /> Details: Perform Visual Inspection of Plumbing Fixtures/Valves Yes: N No: ❑ <br /> Repairs needed: Click here to enter text. <br /> Task ID: Rest-GM75 Task Desc: Mth-Picnic Shelter Women's Restroom <br /> Details: Perform Visual Inspection of Plumbing Fixtures/Valves Yes: M No: ❑ <br /> Repairs needed: Click here to enter text. <br /> Task ID: EWSH-012576 Task Desc: Mth-Eyewash and Shower Station-Shop <br /> Details: Perform Visual Inspection of Water Flow at Eyewash Heads: Yes: N No: ❑ <br /> Perform Visual Inspection of Water Flow at Shower Head: Yes: N No: ❑ <br /> Perform Visual Inspection of Plumbing Fixtures/Valves: Yes: N No: ❑ <br /> Repairs needed: Click here to enter text. <br /> i <br /> l <br /> l <br /> i <br /> ti <br /> N <br /> k <br /> H <br />