Title Page
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Store #
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Conducted on
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Location
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Manager
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Personnel on duty
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Prepared by
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All promotional signage is up. 1 Missing OK, 2 Missing Fair, 3 or more Poor
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All promotional signage from prior month is gone. 1 OK, 2 Fair, 3 or more Poor
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Shippers are being worked
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All shippers are more than half full.
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All Tobacco signs match price sheet- Missing 1 Off Good, 2 Off Fair, 3 or more Poor
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All items in open faced coolers are priced and dated. 1 missing Good, 2 Fair, 3 or more Poor
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Open Face Cooler is stocked and full.
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How many holes in the Non-Alcoholic Drink Section (less than 3 OOS)
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All key cooler items (non carbonated/soda) are stocked.
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How many holes in the Beer/Wine Section..less than 3?
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All beer is priced.
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Fountain area stocked, priced, clean, with No beverages Out of Stock
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All Fountain, Frozen, Roller Grill & Hot Foods area Clean and working properly and stocked
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Frozen, Roller Grill & Hot Foods have signage
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Ice Merchandiser is over half full
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Gondola Shelf tags are up and priced correctly
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Gondola Shelving Out of stocks...less than 3?
Restrooms -
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Walls/stall dividers - wiped down, clean, unsoiled?
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Mirrors - wiped down, clean, unsoiled?
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Sinks - wiped down, clean, unsoiled?
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Toilet - clean tank, base, lid, bowl, behind, seat tight?
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Urinal - flushes properly, floor clean?
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Stocked - toilet paper, paper towels, soap, air freshener, diaper deck liners?
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Operational - toilets flush, sink runs/no leaks, soap dispenses, and hand dryer in good repair?
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Trash - emptied, clean?
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Floor - clean, bug free, litter free?
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Lighting - all bulbs burning, lenses clean, bug free?
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Vents - clean, dust free?
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Brill is on and working
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Restroom Checklist is being used
Checklist
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Check to see if store has proper stock on Star Saver items.
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Discuss out of stocks with manager.
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Talk with manager about any vendor issues.
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Check on any OOD items that may be able to get credit
Signature
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Attach prior month's promo sheet, current promo sheet, cigarette price sheet, OT price sheet, OT planogram, and soda/non-carb planogram.
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I hereby certify that the above form is true and accurate to the best of my knowledge.