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GENERAL SERVICES ADMINISTRATION <br /> PUBLIC BUILDINGS SERVICE PAGE 1 OF 1 PAGES <br /> CONDITION SURVEY REPORT DATE OF SURVEY <br /> 09 / 23 / 2021 <br /> BENEFICIAL OCCUPANCY Check one: u INITIAL " I FINAL <br /> BUILDING NAME AND ADDRESS LESSOR ' S NAME AND ADDRESS <br /> Bonnie B . Davis Environment and Agricultural Center Orange County of North Carolina <br /> 1020 Highway 70 West P . O . Box 8181 <br /> ROOM NUMBERS OR OTHER IDENTIFICATION LEASE NUMBER <br /> 150 and 141 E - F 57 - 37135 - 21 - FA <br /> SUGGESTED ITEMS (Incomplete) NARRATIVE REPORT <br /> 1 , BUILDING EXTERIOR REPORT ON ALL PERTINENT ITEMS , COMMENTING AS TO THEIR GENERAL CONDITION AND <br /> APPEARANCE , TYPE OF CONSTRUCTION , CONDITION OF PAING OR OTHER FINISH , ETC . USE <br /> 2 . BUILDING ENTRANCES REVERSE OF THIS FORM IF MORE SPACE IS NEEDED . <br /> 3 , CEILING OCCUPANCY INSPECTION COMPLETED ON 09/23/2021 AND CONSTITUTES <br /> a . MATERIAL <br /> b . PAINT ACCEPTANCE OF THE TENANT IMPROVEMENTS/SPACE BY USDA , EXCEPT FOR THE <br /> FOLLOWING ITEMS THAT STILL REQUIRE COMPLETION : <br /> 4 . CORRIDORS <br /> 5. DOORS <br /> a . MATERIAL All Items Complete <br /> b . LOCKS <br /> c. TRANSOMS <br /> 6. ELECTRICAL SYSTEM <br /> a . LIGHT FIXTURES INUMBER AND TYPE) <br /> b . SWITCHES <br /> c. OUTLETS <br /> 7 , ELEVATORS (NUMBER AND TYPE) <br /> 8, FIRE ESCAPES <br /> 9 , FIRE PROTECTION EQUIPMENT <br /> a. FIRE EXTINGUISHERS (TYPE) <br /> b . HOSE RACKS AND/OR REELS <br /> c. FIRE ALARM SYSTEM (TYPE) <br /> d . SPRINKLERS <br /> 10. FLOORS <br /> a . MATERIAL <br /> b. COVERING <br /> 11 , HEATING AND AIR CONDITIONING SYSTEMS <br /> a . HEATING PLANT (TYPE) <br /> b . RADIATORS <br /> c. SPACE HEATERS <br /> d . AIR DUCTS AND OUTLETS <br /> e . FANS <br /> 12 . LAVATORIES (OFFICE) <br /> 13 . REST ROOM FACILITIES <br /> a . LAVATORIES <br /> b . WATER CLOSETS <br /> c. URINALS <br /> d . MIRRORS <br /> e . WASTE RECEPTACLES <br /> f . TOWEL DISPENSERS Other : <br /> g . TOILET PAPER DISPENSERS <br /> h . SANITARY PAD DISPENSERS Rural Development : <br /> 14 . SKYLIGHTS <br /> 15 , STAIRS OCIO CEC : <br /> 16, VENTILATORS We , the undersigned , do hereby certify that this report represents our opinion of the tru and correct <br /> 17 . WALLS condition of the above described premises as of <br /> a . MATERIAL Date : 09/23/2021 <br /> b . PAINT <br /> 18, WINDOWS SIGNATURE AND TITLE Digitally signed by TINA MILLER <br /> a . FRAME Farm Service Agency T I N A M I L L E R Date : 2021 . 09 . 23 08 : 29 : 16 -04 '00' <br /> b . SASH SIGNATURE AND TITLE Digitally c . VENETIAN BLINDS Natural Resources Conservation Service EDWARD BOGUE BOGUEsigned by EDWARD <br /> d . ROLLER SHADES Date: 2021 ,09 ,23 09 :39:05 -04'00' <br /> e . SCREENS SIGNATURE OF LESSOR (If not obtained, explain on reverse) <br /> f. AWNINGS Alan Dorman Digitally signed by Alan Dorman <br /> Date: 2021 , 09. 30 14 :47:21 -04'00' <br /> GSA WASH DC 56 - 4199 GSA FORM 1204 <br /> AUGUST 1955 <br />