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Business Address:
D/B/A Name :
Nbr Of Floors:
Time In: Time Out:
AM
PM
AM
PM
Store Manager: Scanning Coordinator: Nbr of Scanners at Location:
Investigator's Name:
Schedule Date:
Inspection Date:
_
IRIS NUMBER: SITE NUMBER:
Store Size: Item count at check out: Incorrectly scanned count:
This inspection report was discussed and reviewed by: Print Mgr. / Owner Name:
Mgr. / Owner's Signature: Date:
OFFICE USE ONLYNOTE: THE FINAL RESULTS OF THIS INSPECTION WILL BE DETERMINED BY THE REVIEWING SUPERVISOR
PASS FAIL Supervisor's Signature: Data Entered into Account Queue:
Investigator's Signature: Badge Nbr:
License Type #: Expired Date:/ / /
_
City: State: Zip:
_
CERTIFICATEA.
PRICING / UNIT PRICEB.
DOUBLE CHECK PROCEDUREC. D.
RECEIPT REQUIREMENTSE. F.
ADVERTISEMENTG. H.
SHELF TAGS & SIGNS
SCANNING TEST / DEVICES / EQUIPMENT
POLICIES
A.P.S. Rule 2Requirement for Price MarkingPrice Marking pending A.P.S. certification.
A.P.S. Rule 5 A.P.S. Rule 17Reconstituted Infant Formula may disclose on the Shelf Labels - Unit Price per oz after water is added.
A.P.S. Rule 18Pre-packaged Items that do not have UPC symbol or capable of being electronically scanned must be price marked.
Unit PricingUnit Pricing UniformityUS Dollar and Cents
A.P.S. Rule 11Double Check Procedure
Employee Designated: to verify price
Proper Placement of Labels and Signs
A.P.S. Rule 19Correction of Scanning Errors
Correction of Scanning Errors
A.P.S. Rule 15Shelf Labels
Label affixed to shelf
Promptly Correcting Price Marking discrepancies
A.P.S. Rule 16 Non-Shelved Labels
Brand Name - if anyName of Item
Sale Dates ( If Applicable )Current Price (Reg./Sale)
Size Requirements for Sign (5x7 min)Brand Name- if anyName of Item
Sale Dates ( If Applicable )Current Price (Reg./Sale)
Size Or Weight Or Measure Or Count
A.P.S. Rule 13Receipt Requirements
Receipt to CustomerDate of TransactionBusiness Name
Business Telephone NbrBusiness Address
Discount Card RequirementProduct I.D.Price of Item
Total Purchase AmountAmount of Sales Tax
A.P.S. Rule 14Printed Advertisements
Size Or Weight Or Measure Or CountAdv. Available to general publicSales DatesDisplayed at central location/each level
A.P.S. Rule 27Scanning Devices/Equipment
A.P.S. Rule 22 A.P.S. Rule 12Point of Sale Device
Notification of Change in Device / Equipment
Overcharge no more than 4% of the total number of items selected
Visible IndicationsView by Customer's Position
A.P.S. Rule 20Refund - Return - Check Writing Policies
Posted at each registerPosted at customer service desk or central locationWritten copy available at customer request
View Price
CITY OF CHICAGODEPARTMENT OF BUSINESS AFFAIRS AND CONSUMER PROTECTION
ALTERNATIVE PRICING SYSTEMINSPECTION
Ward Nbr:
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