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Locations
Careers
Community
Contact
Maintenance Request
Please enter only one maintenance request on this form. Submit a new form for each additional request.
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Person Entering Request
*
First
Last
Store #
*
Select Store
201
202
203
204
205
206
207
210
302
305
308
309
310
311
315
317
319
320
321
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323
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555
600
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612
619
620
643
677
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777
780
801
802
803
804
805
806
991 (Cayce Office)
992 (Barnwell Office)
993 (Wisconsin Office)
99981
99982
99983
99984
99985
99986
99987
99988
99989
999810
999811
999812
999813
999814
Air Vac Machine
Select Option
Jammed Coins
Damaged Hose
No Power
Credit Card Not Working
Invoice
Have you checked the breakers?
*
Select Answer
Yes
No
NC Sites Call Service # on Equipment and Provide Serial #
Canopy
Select Option
Leaking
Damaged
Needs to be pressure washed
Needs Painting
Invoice
Location
*
Upload Picture of Canopy
*
Click or drag a file to this area to upload.
Car Wash
Select Option
Codes Not Working
Stopped In Mid-Cycle
Out Of Chemicals
Entrance / Exit Door Not Working
No Power
Invoice
Where are the codes not working?
*
Selection Answer
Pumps
Kiosk
Register
All of the above
Have you checked the breakers?
*
Select Answer
Yes
No
Ceiling Tiles
Select Option
Damaged
Dirty-Needs Cleaning
Invoice
Location
*
How Many?
*
Coolers
Select Option
Not Cooling
Doors Need To Be Repaired
Seal Needs To Be Repaired
No Power
Invoice
Location
*
What is the temperature?
*
Which Door?
*
Have you checked the breakers?
*
Select Answer
Yes
No
Doors
Select Option
Rekeyed
Lock Not Working
Not Closing All The Way
Closure Needs To Be Adjusted
Invoice
Location
*
Select Option
Front
Back
Side
Office
Food Service
Select Option
Coffee Pots
Fountain Machine
Sink
Equipment
Other
Invoice
Location
*
Have you called the Vendor? (Service # on equipment)
*
Select Answer
Yes
No
Other
*
Fuel Price Sign
Select Option
No power
Price is not showing all digits
Lost Remote
Remote not working
Not able to change price on register
Invoice
Have you check the breaker?
Select Answer
Yes
No
Upload Picture of Fuel Price Sign
*
Click or drag a file to this area to upload.
Glass Repair
Select Option
Windows need tinted
Broken / Cracked
Invoice
Location
*
HVAC System
Select Option
Not Cooling
Not Heating
Filters need to be changed
No Power
Invoice
What is the temperature?
*
Location
*
Have you checked the breakers?
*
Enter Answer
Yes
No
Ice
Select Option
Inside Merchandiser
Harmon Ice
Invoice
Ice Merchandiser
*
Select Option
Leaking
Not Making Ice
Needs Cleaning
Harmon Ice Call Service # 423-926-9164
Landscape
Select Option
Needs Mowing
Bushes Need Trimmed
Weeds Need To Be Treated
Invoice
Lighting-Inside
Select Option
Flickering
Out
Invoice
How Many Lights
*
Location
*
Lighting-Outside
Select Option
Flickering
Out
Invoice
How Many Lights?
*
Location
*
Parking Lot
Select Option
Lines Need Painting
Handicap Decal Needs Painting
Potholes Need Repaired
Pressure Washing Needed
Invoice
Location parking lot
*
Upload Picture of Parking Lot
*
Click or drag a file to this area to upload.
Pumps
Select All That Apply
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Invoice
Grade
*
Select All That Apply
Regular
Plus
Premium
Conventional
Kerosene
Diesel-On Road
Diesel- Off Road (Red Dye)
DEF
Pump Issue
*
Select all that apply
Hose Leaking
Hose Disconnected
Nozzle Not Working
Nozzle Disconnected
Keypad Not Working
Display Light Are Out
Pumping Slow
Price Jumps Prior To Fueling
Not Stopping For Prepay Amount
Credit / Debit Not Working
No Power
Receipt Paper Not Printing
Receipt Paper Jammed
Receipt Paper Keeps Feeding Out
Decals Needed
Credit Card Holders
Will not Dispense Fuel
Have you checked the breaker?
*
Select Answer
Yes
No
Have you tried clearing the jammed paper?
*
Select Answer
Yes
No
Have you checked to make sure the paper is not loaded backwards.
*
Select Answer
Yes
No
How Many pumps
*
Restroom
Select Option
Ladies
Men
Family
All
Invoice
Sink
Select Option
Faucet Leaking
Clogged
Broken
No hot water
Toilet
Select Option
Leaking
Clogged
Broken
Roof (Ceiling)
Select Option
Leaking
Damaged
Invoice
Location
*
Have you put out a Caution Cone and Bucket
*
Enter Answer
Yes
No
Upload Picture of Roof
*
Click or drag a file to this area to upload.
Safe
Select Option
Key broken of in safe
Lost Keys
Not working
Invoice
Type
*
Select Option
Volumatic
TACC
Dial
Volumatic Call Service # 877-662-5872
Security
Select Option
Alarm Code Needs Changing
Alarm Code Not Working
Door Chime Not Working
Panic Button Not Working
Panic Button Keeps Going Off
Invoice
Sidewalk
Select Option
Curbs Need Painting
Needs Repair
Needs to be pressure washed
Invoice
Upload Picture of Sidewalk
*
Click or drag a file to this area to upload.
State Inspection
Do you have a timeline for repairs?
*
Select Answer
Yes
No
Date
*
Have you been shut down?
*
Select Answer
Yes
No
Have you emailed your paperwork to your District Supervisor?
*
Select Answer
Yes
No
Have you emailed the paperwork to
[email protected]
?
*
Select Answer
Yes
No
What needs to be corrected?
*
Pest Control
Select Option
Ants
Flies
Rodents
Invoice
Location
*
Trashcans
Select Option
Front Entrance
Back Entrance
Pumps
Replacement Parts
Invoice
How many are needed? trashcans
*
Trash Dumpster
Select Option
Needs to be picked up
Need a locking Dumpster
Damaged
Need a larger size
Invoice
Upload Picture of Dumpster
*
Click or drag a file to this area to upload.
Add a Picture
Click or drag a file to this area to upload.
Special Project
Add a Picture
Click or drag a file to this area to upload.
Submit
