Title Page
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Document No.
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Grocer Property visit checlist
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Site & Surrounding Area
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Is the site and surrounding area free of shopping carts?
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Is the site and surrounding area free of Loitering?
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Is the site and surrounding area clean, trash, & clutter free?
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Is the site and surrounding area free of strong odors?
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Is the site and surrounding area surface free of stains, spills, residue?
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"Surrounding area" is the area within 100 feet of the site.
Property & Shopping Center
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Is the property/shopping center free of stray shopping carts?
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Is the property/shopping center free of Loitering?
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Is the property/shopping center free of trash and debris?
Housing Unit
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Is paint in good condition?
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Are decals in good condition?
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Are barrels clean and in good condition?
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Are spill buckets clean and in good condition?
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Are cones and signs in good condition?
Site Cleaning Supplies
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Does site have water access?
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Is water being used to clean?
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Does site have water barrel, dolly, hose?
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Does the site have a barrel brush, chore boys?
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Does the site have blue rags, paper towels?
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Does the site have broom, dustpan, push broom?
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Does the site have cleaning solution in labeled spray bottles?
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Must include 1 picture of site & surrounding area?
Store Relationship
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Is the site free of complaints from Grocer, Property Mgr, City?
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Does the Grocer/VCA confirm that operational standards are being met?
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Name of Grocer/VCA manager you spoke to.
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Comments of Grocer/VCA manager you spoke to.