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Home My WebLink About1975 FRINKLIN ST f ?. INVOICE DATE DUE DATE INVOICE# TOTAL DUE 09/19/2023 09/26/2023 2024-00000099 $200.00 ffff412 I O 4. 0 ivil1 Customer#: 21926 Please Make Check Payable and Remit To: City of Waterloo A TTN: City Clerk/Accounts Receivable RAY'S SUPERMARKET INC 715 Mulberry St 1975 FRANKLIN ST WATERLOO, IA 50703 WATERLOO, IA 50703 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION - 1975 FRANKLIN ST- 9-11-23 FOR BILLING INQUIRY: (319)291-4323 L Description Total Price J REINSPECTION 3 $200.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 21926 09/19/2023 09/26/2023 2024-00000099 $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. pTERCO WATERLOO FIRE RESCUE \q-7)c d► INSPECTION REPORT 4101 RA!rS SUPER MARKET,1975 FRANKLIN ST,BLDG 1975 FRANKLIN ST,WATERLOO/A 50703 DETAILS Inspection Date:09/11/2023 Inspection Type:Annual Inspection(1Yr) Inspection Number: 10891 Shift: N/A Station: N/A Unit: N/A Lead Inspector:JEFF SIEBEL ; Other Inspectors: N/A STATUS CODE DESCRIPTION FAIL 606.3.3.3-Records. Records for inspections shall state the individual and company performing the inspection,a description of the inspection and when the inspection took place. Records for cleanings shall state the individual and company performing the cleaning and when the cleaning took place.Such records shall be completed after each inspection or cleaning and maintained. Inspector:JEFF SIEBEL-Comments:provide current semi-annual kitchen hood exhaust system cleaning and fire suppression inspection report with all discrepancies corrected.Cleaning Now 273 days past due and fire suppression 48 days past due Contractor must upload online to the compliance engine. Location: Not Provided GENERAL NOTES JEFF SIEBEL-09/11/2023 @ 11:35 re-inspection$200 JEFF SIEBEL-09/11/2023 @ 11:37 Provide corrections or close kitchen and cap all gas lines and electrical. Provide corrections to avoid denial of beer and Liquor licenses.The State is cracking down on extensions and it is getting to the point we will have to move to deny if we cannot get compliance. RE!WSPECTION DATE 10/10/2023 CONTACT SIGNATURE Yasmine Yasmeen Signed on:09/11/2023 @ 11:38 S5J 1/) (jIA-16/V cr Printed on 09/11/2023 @ 11:52 Page 1 of 2 INSPECTOR SIGNATURE JEFF SIEBEL Signed on:09/11/2023 @ 11:38 /4/ QUESTIONS ABOUT YOUR INSPECTION? JEFF SIEBEL Jeff.Siebel@Waterloo-ia.org 319.2301224 Printed on 09/11/2023 @ 11:52 Page 2of2