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Regional Fire Marshals <br /> Mobile Food Preparation Vehicle Inspection <br /> Checklist <br /> This document is a regional fire inspection checklist for mobile food preparation vehicles with the <br /> intent of providing a standardized inspection that multiple fire jurisdictions recognize. This <br /> program does not omit local jurisdiction requirements and their permitting processes. All mobile <br /> food preparation vehicle operators are required to contact each jurisdiction prior to operating <br /> within that jurisdiction. <br /> Name of Mobile Food Vehicle: (2064759973) Split Open and Melt <br /> Mailing Address: 1951544 th Ave W#A Lynnwood <br /> Contact Person: Joseph Hardy <br /> Phone Number: (206)475-9973 Email: splitopenandmeltcoOgmail.com <br /> L&I Number (VEN): 1D9BU1427LN451929 License Plate#: 70800AH <br /> Date Inspected: Tn2:�7D Fire Agency: Everett Fire Dept. <br /> Inspector Signature: <br /> Summary of Inspection - Regional <br /> - Approved — No Violations <br /> ❑ Approved to operate — violations noted below must be corrected <br /> ❑ Not approved to operate <br /> Regional Inspection Checklist <br /> Documentation PASS FAIL N/A <br /> 1. Washington State L&I Approval Sticker �5 ❑ ❑ <br /> Cooking System Type-1 Hood (If produces grease laden vapors) PASS FAIL N/A <br /> 1. Cooking suppression system is UL300 listed, serviced, and , ] ❑ ❑ <br /> cleaned. <br /> • Date of last service: <br /> (Semiannually) <br /> • Date of last cleaning: j/ � <br /> 2. Manual Pull Station accessible and unobstructed. ❑ 7 <br />