HomeMy WebLinkAbout1604 LA PORTE RD p F WA . INVOICE DATE DUE DATE INVOICE# TOTAL DUE
0 06/22/2023 07/25/2023 2023-00011296 $200.00
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Customer#: 14658
Please Make Check Payable and Remit To:
City of Waterloo
A TTN: City Clerk/Accounts Receivable
CASEY'S GENERAL STORE -LAPORTE RD 715 Mulberry St
P.O. BOX 3001 WATERLOO, IA 50703
ANKENY, IA 50021
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1604 LA PORTE RD - 5-12-23
FOR BILLING INQUIRY: (319)291-4323
LDescription
I Total Price J
REINSPECTION 3
$200.00
CUSTOMER# I BILLING DATE DUE DATE
14658INVOICE# CHARGES
06/22/2023 07/25/2023 I 2023-00011296 $200.00
Less Prepayment $0.00
Total Due—+ $200.00
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.
WATERLOO FIRE RESCUE PSER�
INSPECTION REPORT
t
CASEY'S GENERAL STORE#2880, 1604 LA PORTE RD,BLDG 1604 LA PORTE RD,WATERLOO IA
S0702
DETAILS
Inspection Date:05/12/2023 I Inspection Type:Annual Inspection(1Yr) Inspection Number: 10011 I Shift: N/A Station: N/A Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A
STATUS CODE DESCRIPTION
.°a 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 container
with self closing lid for oily waste.OPTION:Submit a written corporation plan for
proper handling of oily waste material to prevent spontaneous combustion.
Location:Not Provided
GENERAL NOTES
JEFF SIEBEL-04/10/2023 @ 15:23 re-inspection fee$200
JEFF SIEBEL-04/10/2023 @ 15:23 manager put in work order,but inspection has been opened since 10/13/22
REINSPECTION DATE
06/09/2023
CONTACT SIGNATURE
Madi Paulson 2023 requested primary I
Signed on:05/13/2023 @ 10:26 Q�' / t7
Printed on 05/13/2023 @ 10:35
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:05/13/2023 @ 10:26
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 05/13/2023 @ 10:35
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