Pump N Pantry Walk-N-Wow Store*MontroseGreat BendNew MilfordDushoreNicholsonTunkhannock 6LenoxTunkhannock 8Lake WinolaPikes CreekTroyMansfieldTiogaLeroyCantonName of Person Completing Survey* First Name of person completing surveyDate MM slash DD slash YYYY Time : Hours Minutes AM PM AM/PM Person in Charge* First Name of designated PICFUEL ISLAND-Check ALL that NEEDS ATTENTION* Fuel dispensers need cleaning Fuel dispensers need unauthorized signs or tape removed CITGO/VALERO Security Seal is missing OR broken Bagged Pump or Out of Order Pump Windshield Washer needs filled Paper towels need filled Need squeegies Trash needs emptied Trash cans need cleaned Trash, rocks, absorball, rock salt, dirt buildup need swept up There are 1 or more canopy lights out Everything is perfect ASSIGNED TO/ADDITIONAL COMMENTS*FRONT ENTRY-Check ALL that NEEDS ATTENTION* Front curbs or sidewalks need cleaned Rugs need cleaned Windows need cleaned Trash cans need emptied Trash cans need cleaned There are 1 or more outside lights out Looks Perfect ASSIGNED TO/ADDITIONAL COMMENTS:*RESTROOMS-check ALL that NEEDS ATTENTION* Floors need swept Paper towels need filled or batteries Toilet Paper needs filled Soap dispensers need filled or batteries Urinal Mats need changed Counters, mirrors-N-sinks need wiped down Toilets/Urinals need cleaned Trash needs emptied Looks Perfect ASSIGNED TO/ADDITIONAL COMMENTS:*FOOD-N-BEVERAGE-check ALL that NEEDS ATTENTION* Loose items-N-trash need picked up Counters, glass-N-iOrder Kiosks need wiped down Condiments, lids, straws-N-cups need filled Grab-N-Go Food is out of date Fresh food needs made Food recipes need to be followed Food dating needs to be followed Everything is Perfect ASSIGNED TO/ADDITIONAL COMMENTS:*STORE-N-COOLER-check ALL that NEEDS ATTENTION* Products need stocked Product needs front-N-faced Cooler doors need cleaned-N-old tape removed Pricing-N-promotions are not accurate-N-need updating Shelves need dusted Everything looks perfect ASSIGNED TO/ADDITIONAL COMMENTS:*SPEED OF SERVICE* Meets Standards-NO MORE THAN TWO CUSTOMERS IN LINE Improvement Needed-customers waiting Not Observed COMMENTSUNIFORMS* HAT/VISORS NOT WORN UNIFORM SHIRT NOT WORN NAME TAG NOT WORN DIRTY/TORN SHIRTS OBSERVED OTHER-LEAVE COMMENT ALL TEAM MEMBERS WERE IN FULL-UNIFORM COMMENTS:UNRESOLVED MAINTENANCE ISSUES* YES, SEE COMMENTS ON MAINTENANCE ISSUES NO UNRESOLVED MAINTENANCE ISSUES UNRESOLVED MAINTENANCE ISSUES: Δ
