HomeMy WebLinkAbout3035 LOGAN AVE p F WA TF� INVOICE DATE DUE DATE INVOICE# TOTAL DUE
- p 06/22/2023 07/25/2023 2023-00011298
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Customer#: 9078
Please Make Check Payable and Remit To:
City of Waterloo
A TTN: City Clerk/Accounts Receivable
CASEY'S GENERAL STORE#2427 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-3035 LOGAN AVE- 5-1-23
FOR BILLING INQUIRY: (319)291-4323
I
LDescription
Total Price j
INSPECTION 2,000
OCCUPANCY FEE $70.00
$10.00
CUSTOMER# BILLING DATE DUE DATE
9078 I 06/22/2023 INVOICE# CHARGES
I 07/25/2023 _
2023 00011298 $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.
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WATERLOO FIRE RE
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INSPECTION REPORT
CASEY'S GENERAL STORE#2427,3035 LOGAN AVE,BLDG 3035 LOGAN AVE,WATERLOO IA 1
50703
DETAILS
Inspection Date:05/01/2023 ; Inspection Type:Annual Inspection(1 Yr) Inspection Number:8189 I Shift: N/A Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL ; Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL. 1203.2.15-Means of egress Emergency power shall be provided for means of egress illumination in accordance
illumination. with Sections 1008.3 and 1104.5.1.
Inspector:JEFF SIEBEL-Comments:Repair egress lights in restrooms.Women's is out.
Men's will not produce 1 foot candle for 90 minutes.
Location: men's and women's restrooms
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-05/02/2023 @ 09:58 annual inspection$80
JEFF SIEBEL-05/02/2023 @ 09:59 Pump 5 super unleaded out of service.
REINSPECTION DATE
05/22/2023
Printed on 05/02/2023 @ 10:00
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CONTACT SIGNATURE
Pam Jacque
Signed on:05/02/2023 @ 09:57 l e[4
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:05/02/2023 @ 09:57
QUESTIONS AIOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 05/02/2023 @ 10:00
Page 2 of 2