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Form Information <br />PmmxFmm Name: <br />Site Check <br />FormSpace Name: <br />Field Operations <br />Submits, Name: <br />Security Supervisor FOC <br />Submission Date: <br />Jul 23, 2012 6026:53 PM PDT <br />Reference Number: <br />20720724-1$2569056 <br />Location: <br />6016 Main St, <br />"Birt <br />Jul 23, 2012 6:26:49 PM PDS C View Mao f <br />Region <br />Mortal <br />FOC flame <br />Good <br />Site Name <br />Game Stop <br />Weather <br />Good! Clear <br />Guard <br />On Pont <br />Picture from a distance <br />w - - <br />Guard Name <br />Guard Card No <br />ID Card No. <br />979890 <br />Facial Nair <br />Good <br />Body Odor <br />No Odor <br />Alartnes'+ <br />Fully Alert <br />Altitude <br />Excellent <br />Hat <br />No head wear <br />"Birt <br />Bik BDU <br />Shirt Fit <br />Good Fit <br />Pants <br />Bik BDU <br />Pants Fit <br />Good Fit <br />Star Badge <br />Pinned on At <br />Duty Belt <br />Yeo <br />Sou' o <br />Not Visible <br />Shoeo <br />Blk Military Boots <br />Uniform Condition <br />Clean <br />Guard Pic <br />!"A+_''.•.... <br />�1 <br />Site <br />Part <br />Standing ro t <br />Indoor, <br />rime Sheet Avadabte <br />Na <br />DAR'c Avarbble <br />He <br />Detex Lsstalled <br />No <br />Detex Oovrnloaded <br />No <br />Re,O'oom Aaca,cible <br />No <br />Other <br />Informed the guard of hls Positive <br />reV owy U.. In. CIICnt. Askxd hint to <br />continue Providing the same level of <br />exceileni service. <br />Pore: Ileeda new badge holder, wrren4 <br />Image holder has a dtr In the plastic <br />CIIStomer <br />insert. <br />On rte <br />No <br />Able to meet <br />No <br />SAMPLE NUN INSPECTION REPORT <br />T: 888-315-3319 www.insurei)rotective.com <br />F: 888-778-4463 info@instireprotective.com <br />