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Sportsplex Repair and Maintenance Work Request Form <br />All requests should be made in writing and given to Ron Kondub for further examination. <br /> <br />Person Requesting Repair____________________________________ Date____________________________________ <br />Department _______________________________________________ Date Problem was Discovered________________ <br />Problem Description and Location <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />How the problem was first discovered <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />Actions that have been taken by the department to remedy the problem <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />Research on costs or materials needed to fix the problem (attach any extras notes) <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />Priority <br />_____Emergency- immediate safety/health issue (please see management immediately as well as filling out this form) <br />_____Urgent – needs attention in the next 24 hours if possible <br />_____Not urgent, but needed by ________________(day/month/year) <br />_____When possible, no hurry <br />_____Big picture project, something to consider for the future <br />************************************************************************************************** <br />Maintenance Department Notes <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />__________________________________________________________________________________________________ <br />Date Completed_____________________________________________________________________________________ <br />Docusign Envelope ID: 177AA06A-30B4-42FF-A85A-78B5A7C51DBE