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1
of
58
1%
Tech Name
(Required)
First
Last
Work Task Number
(Required)
Store number
(Required)
Date Work Task was received
(Required)
MM slash DD slash YYYY
Date technician attended site
(Required)
MM slash DD slash YYYY
Picture of temperature at Entrance(s)
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature in Seating area
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Condiment cart
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Customer line up area
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Drink Pickup location
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Washroom area
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature in any other areas determined to be too hot or too cold
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Back Bar Mastrena area
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Back Bar cash area (POS)
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Drive thru window if applicable
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at BOH entrance
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Manager’s station
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Ice machine
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of temperature at Sanitizer
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Number of PEM zone sensors
(Required)
Please enter a number from
1
to
5
.
Detailed location of Zone Sensor #1
(Required)
Detailed location of Zone Sensor #2
(Required)
Detailed location of Zone Sensor #3
(Required)
Detailed location of Zone Sensor #4
(Required)
Detailed location of Zone Sensor #5
(Required)
Pictures of temperature at PEM zone sensor #1
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Pictures of temperature at PEM zone sensor #2
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Pictures of temperature at PEM zone sensor #3
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Pictures of temperature at PEM zone sensor #4
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Pictures of temperature at PEM zone sensor #5
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Temperature reported by PEM at Zone Sensor #1
(Required)
Temperature reported by PEM at Zone Sensor #2
(Required)
Temperature reported by PEM at Zone Sensor #3
(Required)
Temperature reported by PEM at Zone Sensor #4
(Required)
Temperature reported by PEM at Zone Sensor #5
(Required)
Picture of humidity in FOH centre of store
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of humidity in Backbar area
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of humidity in BOH area
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Number of HVAC units on site
(Required)
Please enter a number from
1
to
5
.
Picture of HVAC name plate HVAC #1
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of HVAC name plate HVAC #2
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of HVAC name plate HVAC #3
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of HVAC name plate HVAC #4
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Picture of HVAC name plate HVAC #5
(Required)
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Accepted file types: jpg, jpeg, png, gif, Max. file size: 100 MB.
Number of diffusers for HVAC #1
(Required)
Number of return airs for HVAC #1
(Required)
Ducted or non-ducted returns for HVAC #1
(Required)
CFM reading for each diffuser for HVAC #1 in high-speed fan
(Required)
Number of diffusers for HVAC #2
(Required)
Number of return airs for HVAC #2
(Required)
Ducted or non-ducted returns for HVAC #2
(Required)
CFM reading for each diffuser for HVAC #2 in high-speed fan
(Required)
Number of diffusers for HVAC #3
(Required)
Number of return airs for HVAC #3
(Required)
Ducted or non-ducted returns for HVAC #3
(Required)
CFM reading for each diffuser for HVAC #3 in high-speed fan
(Required)
Number of diffusers for HVAC #4
(Required)
Number of return airs for HVAC #4
(Required)
Ducted or non-ducted returns for HVAC #4
(Required)
CFM reading for each diffuser for HVAC #4 in high-speed fan
(Required)
Number of diffusers for HVAC #5
(Required)
Number of return airs for HVAC #5
(Required)
Ducted or non-ducted returns for HVAC #5
(Required)
CFM reading for each diffuser for HVAC #5 in high-speed fan
(Required)
Does the BOH have a Ductless Split?
(Required)
Yes
No
Does the FOH area have Blinds or Thermal Tints (if applicable)
(Required)
Blinds
Thermal tints
None
N/A
Suggestions for relocation of zone sensors?
(Required)
Suggestions for additional zone sensors?
(Required)
Have all tasks been completed to the best they possibly can be?
(Required)
Any additional notes or recommendations?
(Required)