Title Page
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Customer Location
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Machine Name
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Servicing Branch
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National Agreement
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Prepared by
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Conducted on
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Machine Type
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Are there lockers attached?
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Locker Type
- 3 Door
- 12 Door
- 18 Door
- 27 Door
- 30 Door
- 36 Door
- 2 Door Vertical
- 2 Door Horizontal
- 4 Door
- 18 Door SL
- 24 Door SL
- 27 Door SL
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Is the machine connected to power and data?
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Is the machine's exterior clean?
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Is the machine level?
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Is the technical support decal present and in readable condition?<br>
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Are all of the lights working?
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Lighting Type
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Are all positions labeled?
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Are the labels printed rather than hand-written?
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Are the labels readable and in good condition?
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Is the bottom of the machine free of product? (supplement with images)<br>
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Do any parts need to be replaced? Specify. (i.e. Coils, Dividers, Motors, etc.)
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Has the machine or lockers suffered any damages? (supplement with detailed images)
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Please provide an exterior photo.
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Please provide a photo of the info decal.
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(SSS) Please rate your overall satisfaction with the machine.
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Notes
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Please confirm your findings.
