HomeMy WebLinkAbout1604 LAPORTE RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
Nr.t. 05/02/2023 06/05/2023 2023-00011248 $200.00
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
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 LAPORTE RD -4-10-23 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price
REINSPECTION 3 $200.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14658 05/02/2023 06/05/2023 2023-00011248 $200.00
Less Prepayment $0.00
Total Due $200.00
City of Waterloo
140S c
WATERLOO FIRE RESCUE 405E °
INSPECTION REPORT t ,
CASEY'S GENERAL STORE G2880,1604 LA PORTE RD,BLDG 1604 IA PORTE RD,WATERLOO IA
50T02
DETAILS
Inspection Date:04/10/2023 Inspection Type:Annual Inspection(1Yr) Inspection Number:9803 I Shift: N/A Station: N/A
Unit: N/A 1 Lead Inspector:JEFF SIEBEL j 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 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 .
GENERAL NOTES
JEFF SIEBEL-03/13/2023 @ 10:53 re-inspection fee$200
JEFF SIEBEL-03/13/2023 @ 10:53 manager put in work order,but inspection has been opened since 10/13/22
REINSPECTION DATE
05/10/2023
CONTACT SIGNATURE
Treva Gillam GM
Signed on:04/10/2023 @ 15:22 )1Qdc- '71
Printed on 04/10/2023 @ 15:23
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:04/10/2023 @ 15:22
QUESTIONS AMOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 04/10/2023 @ 15:23
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