HomeMy WebLinkAbout3035 LOGAN AVE W 4 P INVOICE DATE DUE DATE INVOICE# TOTAL DUE
07/18/2023 08/20/2023 2024-00000041 $100.00
• "I #in I"I'I' ' •
0
Customer#: 14658 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CASEY'S GENERAL STORE-LAPORTE RD 715 Mulberry St
1 SE CONVENIENCE BLVD WATERLOO, IA 50703
ANKENY, IA 50021
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 3035 LOGAN AVE- 7-17-23 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14658 07/18/2023 08/20/2023 2024-00000041 $100.00
Less Prepayment $0.00
Total Due— $100.00
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.
c‘b
WATERLOO FIRE RESCUE �P�ER�oo
INSPECTION REPORT t
CASEY'S GENERAL STORE#2427,3035 LOGANAVE,BLDG 3035 LOGANAVE,WATERLOO IA
50703 44021
DETAILS
Inspection Date:07/17/2023 Inspection Type:Annual Inspection(1Yr) i Inspection Number: 10488 j Shift: N/A I Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL 304.3.1 -Spontaneous Materials susceptible to spontaneous ignition,such as oily rags,shall be stored in a
ignition. listed disposal container.Contents of such containers shall be removed and
disposed of daily.
Inspector:JEFF SIEBEL-Comments:provide an approved listed oily waste receptacle
(see below)for all oily rags to prevent spontaneous combustion or a written
corporate policy on handling of oily waste rags.
Location:kitchen
GENERAL NOTES
JEFF SIEBEL-07/18/2023 @ 08:45 re-inspection fee$100
REINSPECTION DATE
08/18/2023
CONTACT SIGNATURE
Pam Jacque r'
Signed on:07/18/2023 @ 08:45
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:07/18/2023 @ 08:45
Printed on 07/18/2023 @ 08:48
Page 1 of 2
•
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
)eff.Siebel@Waterloo-ia.org
3192301224
Printed on 07/18/2023 @ 08:48
Page 2 of 2