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KWIK STAR #724
A,a Waterloo Fire Rescue l ,q Inspection Report 425 E.3rd Street Kwik Star#724-1105 Cedar Bend ST,BLDG 1105 Cedar Bend St,Waterloo IA 50703 INSPECTION DETAILS Inspection Date Inspection Type Inspection Number ���06/0512026 Annual Inspection(1Yr) 1 •,- 17428 Lead Inspector Shift Station Unit BRAD BALDWIN NIA NIA N/A Other Inspectors N/A SUMMARY OF INSPECTION 045 L' 6 ® 24 Passed codes Failed codes N/A codes NEXT STEPS Please direct questions about your Inspection to: Reinspection Date BRAD BALDWIN 07/01/2026 brad.baldwin@waterloo-ia.org,3192914319 GENERAL NOTES BRAD BALDWIN-06/08/2026©14:48 •$80 annual inspection fee BRAD BALDWIN-06108/2026 @ 14:48 •Commercial Fire Inspector-brad.baldwin@waterloo-ia.org-Work:319-291-4319(#5)-Cell:319-230-1224 BRAD BALDWIN-06/08/2026 @ 14:48 •Provide corrections to avoid progressive re-inspection fees beginning at$100.Beer/Liquor application will not be signed until violations and hazards corrected BRAD BALDWIN-06/08/2026 @ 14:48 •If all corrections are made before the scheduled re-inspection date,you can call to set up an earlier re-inspection.Normal operating hours for inspections&re-inspections are Monday-Friday,9:00 a.m.-4:00 p.m.*****Re inspection fees may be assessed for subsequent re-inspections.Re- inspection fees start at$100,then$150,and$200 for all subsequent re-inspections. SIGNATURES Contact signature Inspector signature No signature Report completedeelpost stinspection Alicia(2025)District Manager Date: BRAD BALDWIN 06/08/2026 CHECKLISTS GENERATED ON 6/8/26, 3:28 PM ] OF 5 Means of Egress Static Code Description Fail 1032.2-Reliability. Required exit accesses,exits and exit discharges shall be Location:Back stock exit continuously maintained free from obstructions or Comments:Remove obstructions to clear path to exit,maintain path impediments to full instant use in the case of fire or other at all times. emergency where the building area served by the means of egress is occupied.An exit or exit passageway shall not be used for any purpose that interferes with a means of egress. Additional Codes Sian_„ Code Description Fail 2303.2-Emergency disconnect switches. An approved emergency disconnect switch shall be provided Location:Register counter at an approved location to stop the transfer of fuel to the fuel Comments:Approved signage shall be installed in an approved dispensers in the event of a fuel spill or other emergency.The location marking the Emergency Fuel Shut-Off switch emergency disconnect switch for exterior fuel dispensers shall be provided with ready access and shall be located within 100 feet(30 480 mm)of,but not less than 20 feet(6096 mm)from,the fuel dispensers.For interior fuel-dispensing operations,the emergency disconnect switch shall be provided with ready access and be installed at an approved location.Such devices shall be distinctly labeled as: "EMERGENCY FUEL SHUTOFF."Signs shall be provided in approved locations. Fail 2303.2-Emergency disconnect switches. An approved emergency disconnect switch shall be provided Location:Exterior-Near front exit doors at an approved location to stop the transfer of fuel to the fuel Comments:Approved signage shall be installed in an approved dispensers in the event of a fuel spill or other emergency.The location marking the Emergency Fuel Shut-Off switch emergency disconnect switch for exterior fuel dispensers shall be provided with ready access and shall be located within 100 feet(30 480 mm)of,but not less than 20 feet(6096 mm)from,the fuel dispensers.For interior fuel-dispensing operations,the emergency disconnect switch shall be provided with ready access and be installed at an approved location.Such devices shall be distinctly labeled as: "EMERGENCY FUEL SHUTOFF."Signs shall be provided in approved locations. General Housekeeping Stetus Code Description Fail 304.3.1-Spontaneous ignition. Materials susceptible to spontaneous ignition,such as oily Location:Kitchen rags,shall be stored in a listed disposal container.Contents Comments:Provide listed container for disposal of oily rags of such containers shall be removed and disposed of daily. GENERATED ON 6/8/26, 3:28 PM 2 OF 5 - Electrical Safety Status Code Description Fail 603.4-Working space and clearancesclearance. A working space of not Working space around electrical Location:Back stock area-Electric panels equipment shall be provided in accordance with Section Comments:REPEAT VIOLATION:Remove all storage on floor in front 110.26 of NFPA 70 for electrical equipment rated 1,000 volts or of electric panels.Approved marking less,and Section 110.33 of NFPA 70 for electrical equipment paint or tape shall be installed on floor in front of panels noting"No Storage Allowed In This Area" rated over 1,000 volts.The minimum required working space shall be not less than 30 inches(762 mm)in width,36 inches (914 mm)in depth and 78 inches(1981 mm)in height shall be providedin front of electrical service equipment.Where the electrical service equipment is wider than 30 inches(762 mm),the minimum working space shall be not less than the width of the equipment.Storage of materials shall not be located within the designated working space.Exceptions:1. Where other dimensions are required or allowed by NFPA 70. 2.Access openings into attics or under-floor areas that provide a minimum clear opening of 22 inches(559 mm)by 30 inches(762 mm). -64 rr, r- a • Ff GENERATED ON 6/8/26, 3:28 PM 3 OF 5 Portable Fire Extingusihers Sta us Code Description Fail 906.2-General requirements. Portable fire extinguishers shall be selected,installed and Location:All extinguishers maintained in accordance with this section and NFPA 10. Comments:Provide annual service to all extinguishers in building. Exceptions:1.The distance of travel to reach an extinguisher Currently due. shall not apply to the spectator seating portions of Group A-5 occupancies.2.Thirty-day inspections shall not be required and maintenance shall be allowed to be once every 3 years for dry-chemical or halogenated agent portable fire extinguishers that are supervised by a listed and approved electronic monitoring device,provided that all of the following conditions are met:2.1.Electronic monitoring shall confirm that extinguishers are properly positioned,properly charged and unobstructed.2.2.Loss of power or circuit continuity to the electronic monitoring device shall initiate a trouble signal.2.3.The extinguishers shall be installed inside of a building or cabinet in a noncorrosive environment. 2.4.Electronic monitoring devices and supervisory circuits shall be tested every 3 years when extinguisher maintenance is performed.2.5.A written log of required hydrostatic test dates for extinguishers shall be maintained by the owner to verify that hydrostatic tests are conducted at the frequency required by NFPA 10.3.In Group 1-3,portable fire extinguishers shall be permitted to be located at staff locations. GENERATED ON 6/8/26, 3:28 PM 4 OF 5 '® Statement of Fees FEE Invoice Date Inspection Fee Date Paid Amount Paid NIA Invoice Number Check Number Transaction Number N/A NIA NIA GENERATED ON 6/8/26, 3:28 PM 5 OF 5 0 WA TF INVOICE DATE DUE DATE INVOICE# TOTAL DUE P 06/10/2026 07/15/2026 2026-00000533 $80.00 ,/taw.. . O ) O 44. 7vtl° Customer#: 5019 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable KWIK STAR#724 715 Mulberry St 1626 OAK ST WATERLOO, IA 50703 LA CROSSE, WI 54602 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL FIRE INSPECTION-1105 CEDAR BEND ST- FOR BILLING INQUIRY: (319)291-4323 06/05/2026 Description Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 5019 06/10/2026 07/15/2026 2026-00000533 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days.