Graves Foods Service Form

Basic Information

Technician Name*

Customer Name*

Customer Email* (separate multiple with comma or semicolon)

Date *

Time

Machine Name

Model

Dispenser

Location

Distribution

Ware Wash Results

Titration

Wash Temp

Rinse Tank Temp

Final Rinse P.S.I.

Water Hardness

Fill Valves

Pumps

Wash Tank Arms

Rinse Tank Arms

Final Rinse

Overflow

Drains

Racking

Curtains

Laundry Results

Towels

Sheets

Colors

Odor

Feel

Stain Removal

Water Levels

Wettability - Poor

Wettability - Good

Drain Valves

Second Look

Items

Dishes

Glasses

Silver

Pots/Pans

Beverage Service Equipment

Coffee

Tea

Hot Chocolate

Juice

Model(s)

List all Model(s)

Coffee Brewer

Warmer/Element

Switches/Lights

Sprayhead - Tubing

Brewbasket

Timer - Valve

Relay - Wiring

Thermostat

Micromet Feeder

Water Level

Timed Cycle

Temperature

UM - Bypass

UM - Glass

UM - Pump

UM - Agitator

Other

Tea Dispenser

Water Valve

Drip Tray

Switch

Tea Head

Other

Hot Chocolate/Capp. Disp.

Motor

Valve

Timer

Hopper - Auger

Switch

Other

Checks

Products

Stock Check

Comments & Signatures

Comments

Signatures

Service Representative Signature *

Customer Signature *