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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: Kautzman Kettle Corn <br /> Mailing Address: 15405 91stAve SE Snohomish,WA 98296 <br /> Contact Person: Larry Kautzman <br /> Phone Number: 425-422-0364 Email: <br /> L&I Number (VEN): 1Z9Z1EL22NP475514 License Plate#: 97866AG <br /> Date Inspected: Fire Agency: Everett Fire Department <br /> Inspector Signature: i — :;: ' 3 <br /> 64.2---F5J4(c",zhal <br /> Summary of Inspection - Regional <br /> ❑ Approved — No Violations <br /> ❑ Approved to operate — violations noted below must be corrected <br /> El Not approved to operate <br /> Regional Inspection Checklist <br /> Documentation PASS FAIL N/A <br /> 1. Washington State L&I Approval Sticker Tg ❑ ❑ <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 ❑ ❑ .g <br /> cleaned. <br /> • Date of last service: <br /> (Semiannually) <br /> • Date of last cleaning: <br /> 2. Manual Pull Station accessible and unobstructed. ❑ El ®-- <br />