HomeMy WebLinkAbout2424 RANCHERO RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
�,�� ��,► -9r._'•� 05/02/2023 06/05/2023 2023-00011239 $80.00
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Customer#: 15371 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CASEY'S GENERAL STORE#2867 715 Mulberry St
2424 RANCHERO RD WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2424 RANCHERO RD -4-28-23 FOR BILLING INQUIRY: (319)291-4323
Description Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
15371 05/02/2023 06/05/2023 2023-00011239 $80.00
Less Prepayment $0.00
Total Due—> $80.00
City of Waterloo
67-3
WATERLOO FIRE RESCUE �PtER�DO
INSPECTION REPORT `h
CASEY`S GENERAL STORE#2867,2424 RANCHERO RD,BLDG 2867 RANCHERO RD, WATERLOO d
IA S0701
DETAILS
Inspection Date:04/28/2023 Inspection Type:Annual Inspection(1Yr) Inspection Number:8051 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 1203.2.6-Exit signs. Emergency power shall be provided for exit signs as required in Section 1013.6.3.The
system shall be capable of powering the required load for a duration of not less than
90 minutes.
Inspector:JEFF SIEBEL-Comments: Repair exit/egress light above front door.
Location:above front door
FAIL 5003.5-Hazard identification Unless otherwise exempted by the fire code official,visible hazard identification signs
signs. as specified in NFPA 704 for the specific material contained shall be placed on
stationary containers and above-ground tanks and at entrances to locations where
hazardous materials are stored,dispensed,used or handled in quantities requiring a
permit and at specific entrances and locations designated by the fire code official.
Inspector:JEFF SIEBEL-Comments: Install proper NFPA 704 Placards on all 4 sides of
both propane tanks.
Location: Not Provided
FAIL 5003.5-Hazard identification Unless otherwise exempted by the fire code official,visible hazard identification signs
signs. as specified in NFPA 704 for the specific material contained shall be placed on
stationary containers and above-ground tanks and at entrances to locations where
hazardous materials are stored,dispensed,used or handled in quantities requiring a
permit and at specific entrances and locations designated by the fire code official.
Inspector:JEFF SIEBEL-Comments: Install proper NFPA 704 Placards on all 4 sides of
both propane tanks.
Location: Not Provided
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STATUS CODE DESCRIPTION
FAIL 5003.5.1 -Markings. Individual containers,cartons or packages shall be conspicuously marked or labeled
in an approved manner. Rooms or cabinets containing compressed gases shall be
conspicuously labeled:"COMPRESSED GAS."
Inspector:JEFF SIEBEL-Comments: Install permanent label stating"Propane"on both
sides of propane tanks.
Location: Not Provided
FAIL 5003.7.1 -Smoking. Smoking shall be prohibited and"No Smoking"signs provided as follows: 1.In rooms
or areas where hazardous materials are stored or dispensed or used in open
systems in amounts requiring a permit in accordance with Section 5001.5.2.Within 25
feet(7620 mm)of outdoor storage,dispensing or open use areas.3.Facilities or areas
within facilities that have been designated as totally"no smoking"shall have"No
Smoking"signs placed at all entrances to the facility or area. Designated areas within
such facilities where smoking is permitted either permanently or temporarily,shall be
identified with signs designating that smoking is permitted in these areas only.4.In
rooms or areas where flammable or combustible hazardous materials are stored,
dispensed or used.Signs required by this section shall be in English as a primary
language or in symbols allowed by this code and shall comply with Section 310.
Inspector:JEFF SIEBEL-Comments: Install"No Smoking"signs on both sides of the
propane tanks.
Location: Not Provided
FAIL 603.2.2-Unapproved Open junction boxes and open-wiring splices shall be prohibited.Approved covers
conditionsOpen electrical shall be provided for all switch and electrical outlet boxes.
terminations.
Inspector:JEFF SIEBEL-Comments:replace missing moisture proof light covers in
walk in cooler.
Location: Not Provided
FAIL 603.2.2-Unapproved Open junction boxes and open-wiring splices shall be prohibited.Approved covers
conditionsOpen electrical shall be provided for all switch and electrical outlet boxes.
terminations.
Inspector:JEFF SIEBEL-Comments:replace missing moisture proof light covers in
walk in cooler.
- Location: Not Provided
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STATUS CODE DESCRIPTION
FAIL 906.6-Unobstructed and Portable fire extinguishers shall not be obstructed or obscured from view. In rooms
unobscured. or areas in which visual obstruction cannot be completely avoided,means shall be
provided to indicate the locations of extinguishers.
Inspector:JEFF SIEBEL-Comments:remove obstructions to k-guard fire extinguisher
in kitchen
Location: kitchen
FAIL 906.6-Unobstructed and Portable fire extinguishers shall not be obstructed or obscured from view. In rooms
unobscured. or areas in which visual obstruction cannot be completely avoided,means shall be
provided to indicate the locations of extinguishers.
Inspector:JEFF SIEBEL-Comments:remove obstructions to k-guard fire extinguisher
in kitchen
Location:kitchen
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GENERAL NOTES
JEFF SIEBEL-05/01/2023 @ 10:39 annual inspection$80
REINSPECTION DATE
05/22/2023
CONTACT SIGNATURE
Christine Crane 2023 Signed on:05/01/2023 @ 10:15 i� L' f I 5
INSPECTOR SIGNATURE
JEFF SIEBEL ),,,, ,
Signed on:05/01/2023 @ 10:15
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QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
ieff.Siebel@Waterloo-ia.org
3192301224
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