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WATERLOO
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INSPECTION
pUDITO�p NIA i
HIPPODROME
50701 ` Shift N/A `, Station:
TTERL� ber.7447 i
1Yr) Inspection
Num
DETAILS Annual Inspection( 100 00
e:A � Fee:
Inspection Type.. Inspectors: NIA i
Date:02/1pector:JEFF SIEBEL`, Other
Inspection , Lead Inspector: fire
Unit: NIA in egress doors other than
DESCRIPTION g to the force
open interior swing not apply door in a
idling forces c that doors,the
for p or pulling
(22These i devices hold the
CODE pushing Nl other folding shall be
STATUS The force of exceed 5 P disengage sliding and door
opening doors,shall n bolts or doors as well as li 67 Nl force.The
p 1 3_poor°P ch and iced to retract latch bolts
swinging to a 15-pound( e.The door shall swing unlatch
101 to unlatch required ° subjected Nl fore
F AIL. force Forces o motion
•For when d(133d N67 Nr force.The forces tor
open doors. closed position.
shall release w to30_P 15operates by Push
door latch when subjected ct a to a 15-pound hardware op 66.
ected door pounds motion when subjected 1.Where of exceed 15 p
set in shall n force to unlatch the
full-open operational
l with the following door shall
unlatch the the operational en doors
doors shall come rd force to rotation, force to°P wally
eration operates by that are man
pull,the d or hardware i ounds(315 N-cml•The
doors pushing or pulling
comply
teed 28 inch-pounds swinging for P doors.sliding
shall not ex interior fire rated, he for swinging
door with the following:1•Foruired to be M 2 other the door shall require
comply w doors required
(22ors t l a sliding
operated,other than exceed 5 p be fire rated, d shall m
P open the door shall not and doors required to set in motion 67 Nl force•
doors force to a 15-pound
doors or folding ound(133 Mot more than won't open between J an
than a 30-P subjected to n
not more when subj doors S�
full-
open position Repair 2 exit
Inspector: SIEBE�-Comments..InspeC
alley egress illumination in accordar
ed for means of
all be provided light br
Emergency power shall egress lig
1008.3 and 1104.5.1. ts:A Middle g wall.
of egress Sections egress lights: on
•
15-Means with menus.repair g d alone egress light
12032 EeraSIEBEL t -B.S MNorthstan
FA1L illumination. Inspector:j Section
ticket counter at front B. 1 p13
wired in Section
signs as req or a duration of not I
provided for exitload
of powering the required
ired
Emergency Power shall be
shall be capable
system light in back of Men's
12p3.2.6"Exit signs• ress g
FAIL.
90 minutes. EL-Comments:repair exit/egress Inspe�°r•�EFF SIEB p North•
between sections E and
Printed on 0211 5/20 23 @ 07:56
Page'I of 3
STATUS CODE DESCRIPTION
FAIL 1203.4.3-Records. Records of the inspection,testing and maintenance of emergency and standby
power systems shall include the date of service,name of the servicing technician,a
summary of conditions noted and a detailed description of any conditions requiring
correction and what corrective action was taken.Such records shall be maintained.
Inspector:JEFF SIEBEL-Comments:Provide documentation of testing and repair of all
egress/exit lights with all discrepancies corrected with signature and date.
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 approved listed oily waste receptacle with
self-closing lid.
FAIL 509.1 -Identification. Fire protection equipment shall be identified in an approved manner.Rooms
containing controls for air-conditioning systems,sprinkler risers and valves,or other
fire detection,suppression or control elements fire protection systems shall be
identified for the use of the fire department.Approved signs required to identify fire
protection system equipment and equipment location shall be constructed of
durable materials,permanently installed and readily visible.
Inspector:JEFF SIEBEL-Comments:Re-install FDC sign by remote fire department
connections.
FAIL Chapter 14-Inspection, Fire alarm system tested at least annually by licensed contractor
testing,and maintenance
Inspector:JEFF SIEBEL-Comments:provide annual fire alarm inspection report with
all discrepancies corrected.Contractor must upload online to the compliance engine.
Showing 7 days past due.
GENERAL NOTES
JEFF SIEBEL-02/14/2023 @ 08:45 annual inspection$80.
JEFF SIEBEL-02/14/2023 @ 08:47 Fire sprinkler good until 5/12/23.Hood cleaning ok till 3/14/23 and Food fire
suppression until 4/24/23/
REINSPECTION DATE
03/09/2023
Printed on 02/15/2023 @ 07:56
Page 2of3
CONTACT SIGNATURE
Jim Koch
Signed on:02/14/2023 @ 08:47 L L .
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:02/14/2023 @ 08:47
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 02/15/2023 @ 07:56
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