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Home Employee Forms39th Street Station Checklist

39th Street Station Checklist

39th Street Station Checklist

Step 1 of 2

50%

Employee Name*
Applicant Name*
First Last
Telephone Number*
Renting Date*
MM slash DD slash YYYY
Renting Time*

: Hours

Minutes

AM/PM
Occasion/ Reason for Renting*
Was an alcohol permit secured for rental?
- Yes
- No
Initial Room Inspection
*Acceptable Condition is deemed by the facilities manager and is subject to change.
Floors in *Acceptable Condition: No deep scratches and/or un-removable markings.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Walls in *Acceptable Condition: No deep scratches and/or un-removable markings.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Televisions in Working Order.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Television accessories in *Acceptable Condition: No permanent markings or damage to the control panels.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Kitchen Equipment in good working order and *Acceptable Condition.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
All garbage is disposed of properly according to the renter's agreement.*
- Yes
- No
Please give a brief description.*
Please take a picture of the trash if it is significant.
Accepted file types: jpg, jpeg, png, gif.
Windows in *Acceptable Condition: No permanent markings and or un-repairable damage.*
- Yes
- No
Please give a brief description.
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Is all city provided equipment returned to the recreation department?*
- Yes
- No
Please list any city provided equipment that was used.*
Is the room temperature correct?*
- Yes
- No
What was the old room temperature?*
Please enter a number from 64 to 77.
What is the new room temperature?*
Please enter a number from 64 to 77.
Applicant Signature*
Employee Signature*

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Final Room Inspection
*Acceptable Condition is deemed by the facilities manager and is subject to change.
Final inspection time.*

: Hours

Minutes

AM/PM
Floors in *Acceptable Condition: No deep scratches and/or un-removable markings.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Walls in *Acceptable Condition: No deep scratches and/or un-removable markings.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Tables and Chairs in *Acceptable Condition: No broken and/or damaged chairs or tables.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Tables and Chairs placed back in proper location and organized correctly.*
- Completed
Televisons in Working Order.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Turn televisions off after use.*
- Completed
Television acessories in *Acceptable Condition: No permanent markings or damage to the equipment.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Kitchen Equipment in good working order and *Acceptable Condition.*
- Yes
- No
Please give a brief description.*
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Clean Microwave, warmer trays, and fridge.*
- Completed
All garbage is disposed of properly according to the renter's agreement.*
- Yes
- No
Please give a brief description.*
Please take a picture of the trash if it is significant.
Accepted file types: jpg, jpeg, png, gif.
Replace trash bags with fresh ones.*
- Completed
Windows in *Acceptable Condition: No permanent markings and or un-repairable damage.*
- Yes
- No
Please give a brief description.
Please take a picture of the damage.*
Accepted file types: jpg, jpeg, png, gif.
Is the room temperature correct?*
- Yes
- No
What was the old room temperature?*
Please enter a number from 64 to 77.
What is the new room temperature?*
Please enter a number from 64 to 77.
Is all city provided equipment returned to the recreation department?*
- Yes
- No
Make sure all outside banquet doors are closed and locked.*
- Completed
Applicant Signature*
Employee Signature*

Save and Continue Later

City of Sugar Hill, Georgia

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5039 West Broad Street • Sugar Hill, GA 30518
Phone: (770) 945-6716 • Monday – Friday, 8:00 am – 5:00 pm

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