Atlanta Police Department

Maintenance Checklist

____________________________
(Date of Report)

Check the appropriate boxes

Department of Planning & Community Development

Abandoned Home/Building

Possible Code Violation

Erosion Control

No Visible Permit

Graffiti

Other

Department of Parks and Recreation

Downed Tree

Litter

Other

Department of Watershed Management

Broken Catch Basin

Broken/Damaged Fire Hydrant

Broken Fence or gate at water facility

Broken Water Meter Cover

Leaking Hydrant

Leaking Water Meter

Lights out or window broken at water facility

Steel Plate

Stopped Up Catch Basin

Water Valve Leak

Other

Department of Public Works

Highway & Streets

Barricade(s) Missing

Curb/Gutter

Damaged Sidewalk

Newspaper Box

Pothole

Utility Cut

Other

Solid Waste Services

Abandoned Junked Vehicle

Bulk Rubbish

Dead Animal

Litter

Overgrowth Vacant Lot/ROW

Other

Traffic and Transportation

Parking Meter

Street Light Lamp(s)

Street Name Sign

Traffic Sign

Traffic Signal

Other

Other Agency: _________________________________________________________________

Location: _____________________________________________________________________

Condition Reported: _____________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Reported by: ________________________ APD ID: ___________ Zone/Watch: ____________

Supervisor: _______________________________ Tel. No.: _____________________________

------------------------------------------ Office Use Only -----------------------------------------------------

Action Taken: __________________________________________________________________

Signature: _________________________________ Date: ______________________________

Form APD 678

Maintenance Checklist

AJordan

2004-03-23

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