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Employee Forms
39th Street Station Checklist
39th Street Station Checklist
39th Street Station Checklist
Step
1
of
2
50%
Employee Name
*
Select one
Darcee Bloom
Marie Brantley
Alayna Barnes
Josh Betancourt
Andrew Byrd
Chris Fajemisin
Iyana Phillips
Applicant Name
*
First
Last
Telephone Number
*
Renting Date
*
MM slash DD slash YYYY
Renting Time
*
:
Hours
Minutes
AM
PM
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
*
Final Room Inspection
*Acceptable Condition is deemed by the facilities manager and is subject to change.
Final inspection time.
*
:
Hours
Minutes
AM
PM
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
*
City of Sugar Hill, Georgia
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