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3027 Broadway 2024-11-08
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3027 Broadway 2024-11-08
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Last modified
11/6/2024 3:54:21 PM
Creation date
11/6/2024 3:53:33 PM
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Address Document
Street Name
Broadway
Street Number
3027
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Category 2:Sensitive information <br /> 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: Pupusas Ana LLC <br /> Mailing Address: 409 State Avenue Marysville WA 98270 <br /> Contact Person: Betty Chavez <br /> Phone Number: 425-246-5985 Email: Pupusasana757C@gmail.com <br /> L&I Number (VEN): V3201 License Plate#: C11615N <br /> Date Inspected: ��, �y Fire Agency: Everett Fire Department <br /> Inspector Signature: ��k 1 V13( I -00t <br /> Summary of Inspection - Regional <br /> X 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 X ❑ ❑ <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 J� ❑ ❑ <br /> cleaned. <br /> • Date of last service: <br /> (Semiannually) `3 <br /> • Date of last cleaning: v23 <br /> 2. Manual Pull Station accessible and unobstructed. 9 ❑ ❑ <br /> Category 2:For official use only/disclosure permissible by law. <br />
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