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Category 2:Sensitive information <br /> Washington State Assn of Fire Marshals <br /> WAMINFIREATE <br /> MARSHALS Food Truck Inspection Checklist <br /> 20211 FC (as of 03-15-2024) <br /> The WSAFM Food Truck Inspection Program <br /> A single inspection is accepted by participating jurisdictions throughout Washington. This document is <br /> a standardized inspection recognized by multiple fire jurisdictions. You may receive a single inspection <br /> once every 12 months from any participating jurisdiction, and that inspection will be recognized by all <br /> participating jurisdictions. This document must be posted in the vehicle at all times. For a list of <br /> participating jurisdictions please visit: www.wsafm.com/Food_Trucks <br /> Local permits are still required. You must contact the local fire department where you are vending and, <br /> if required, receive a food truck permit prior to operating in that jurisdiction. Many jurisdictions will <br /> reduce their permit fees if you have received a valid WSAFM Food Truck Inspection from another <br /> jurisdiction. <br /> Vehicle and Operator Information <br /> Name of Mobile Food Vehicle: Split Open and Melt <br /> Mailing Address: <br /> 18609 66th Avenue W Lynnwood WA 98037 <br /> Contact Person: <br /> Joseph Hardy <br /> Phone Number: <br /> (206)475-9973 Email: splitopenandmeltco@gmail.com <br /> L&I Number (VEN): 1D9BU1427LN451929 License Plate#: 70800AH <br /> Inspection Agency and Results <br /> Date Inspected: Fire Agency: Everett Fire Department <br /> Inspector Signature: <br /> Summary of Inspection - Regional <br /> ❑ Approved — No violations <br /> ❑ Not approved — Violations noted must be corrected by _______. When all violations <br /> are corrected, email/call your inspector to coordinate sign off and permit issuance. Insp <br /> Name: ________________________. I n s p phone or email <br /> Regional Inspection Checklist <br /> Documentation PASS FAIL N/A <br /> 1. Washington State L&I Approval Insignia ❑ ❑ ❑ <br /> 2. Fire Department Permit ❑ ❑ ❑ <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 cleaned. ❑ ❑ ❑ <br /> • Date of last service: (Semiannually) <br /> Washington State Association of Fire Marshals Regional Food Truck Inspection Checklist, 2021 IFC(03152024), page 1 <br /> Category 2: For official use only/disclosure permissible by law. <br />