Loading...
180670 12/29/2009 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1 ONE CIVIC SQUARE CLAY TWP RWD CHECK AMOUNT: $200.00 CARMEL, INDIANA 46032 PO BOX 40638 INDIANAPOLIS IN 46240 -0638 CHECK NUMBER: 180670 CHECK DATE: 12/29/2009 DEPARTMENT ACCOU PO NUM INVOICE NUMBER AMOUNT DESCRIPTION 1047 4341999 2412 200.00 OTHER PROFESSIONAL FE INVOICE °2412 2412 CCPARK H CTRWD Clay Township Regional Waste District �C 10101 N. College Ave. Suite A Indianapolis, IN 46280-1098 ma y (3 1 7 844.9200 fax (317 844.9203 eroonn X www.drwd.org CARMEL CLAY PARKSE� J J CARMEL CLAY PARKS 1411 E 116TH ST 1411 E 116TH ST CARMEL, IN 46032 CARMEL, IN 46032 e 12/14/09 Du Up ceip on Ret PURCHASE'ORDER NUMBER SALESPERSON Monon Center FOG In`s g 12/14/091 1 r I 1 1' I ;0 1 FOODSERVINSP Food Service Inspection Fee Intloor Pool Concession N� E� 100.00 q �x q s 100 00 d 1 1 v 01 FOODSERVINSP ;Food Service Inspection Fee outdoor aquatic park concession N 100 00 100 00 tl 1 In M zz 1 e ii 11 t€ T. "s s r�t P 7 e i e }'}'vvpss a 1 4 Hil t �s{ I fl I �t f s d s41 x I tine t' {1111 t�. 6 S �M 41 i 3 a� .mss 3 a"��r7 3 r �r1� g I_ l sd F d 9 e I J 4 N, Fine; Violation of Device Capac ity 1 st�Offense a �f i Violation of the greasetrap /interceptor capacity for Q, 6ter Indoor Pool Concession �w Outdoor Aquatic Pa "rk Concession 1 Additional fines maybe assessed for non compliance See enclosed copyof CTRWD Food Service Ins pection reports NOnTaxable Subtotal: 200.00 Taxable Subt0 a 0:00 a P Tax a 0.00 I.Apprgy by State Board of accounts For Clay Township Regional Waste District 2002 Total Invoice' 200.00 Reorder from: C Specialties Inc. 317- 872 -7022 Customer Original LINV- 9189CUSTOM 97826B -08 -02 9 n /LQnk Page 1 00 RAU 10701 N. College Avenue Suite A Indianapolis, Indiana 46280 phone 317 844 -9200 fax 317 -844 -9203 www.ctrwd.org Neme:of- Facility Zworai -mom Address Number »S Overall Facility Status Street C, nsa�ak.,�raty t.�rr`ST. COMPLIANT N f Location of Device F j IN VIOLATION i Modification Granted Total Fines Invoice Date 2-10- Oct to Total Fees 10 0 Time ,1 f� Follow Total Due .�1 job /0 Best:Management Practices Maintenance Log Present Yes No Logs, Files:and Other.Records Posters In Designated Areas l o N Yes 1st Offense $200 Inspection Fee Trash Cans by the Sinks O Yes No 2nd Offense $500 Inspection Fee Garbage Disposal Yes Q- No 3rd Offense $1000 +Inspection Fee I... Yellow Grease Collection Yes 5] No 4th Offense Revocation of Certificate Certificate of Use and Occupancy Yes No $500 Per Month Inspection. Is Device Accessible Yes No ReEu ai of InsFecUOn IfAlo Contact County Neagh Department 1st Refusal $500 Fine Inspection Fee Inspector Able to Open Traplinterceptor 0 Yes No 2nd Refusal $1000 Fine Inspection Fee Water Tight Lids ©Yes No 3rd Refusal Revocation of Certificate and Board Review for Enforcement Water TightCleanout Yes No Proper Tee Outlet Length yt Yes No Pretreatment Device Flow Regulator in Place O Yes No No Pretreatment Device 30 Days to Install f7 $500 Fee Inspection Fee and 30 Additional Outside Device Infiltration Prevention Days After 1st NOV of No Device $100 Per Day Inspection Fee After 2nd NOV of No Device ;Accidental Discharge aril Samples'[irriits Failure to Report Accidental Discharge Yes ®No $100 Per Day From Date of Discharge Over Limit,FOG Discharge Sample-,. Yes a No $500 Per Sample Trapllnterceptor:Waste r^ Depth of Interceptor in x.25 0r1 In Waste Limit Cleaning Schedule Depth of Top Layer -e in 1st Offense $400 Fine Depth of Settled Solids 1� in 2nd Offense $800 Fine Actual Waste in 3rd Offense $1000 Fine Date of Last CleaninglMaintenance 4th Offense Revocation Certificate Cleaning Schedule Followed Yes No Device Capacity'° Device is Over Capacity Yes No 1 st Offense 15 Business Days to Clean Device Requires Immedlate Cleaning ®Yes No Inspection Fee $500 15 Additional Days Inspection Fee Notes Failure to Clean in 15 Days $100 Per Day of Non Compliance Inspection Fee 2nd Offense $500 Inspection Fee and 15 Business Days to Clean Device $100 Per Day of Non- Compliance Inspection Fee After l5 Days 3rd Offense Revocation of Certificate Board Review for Enforcement Signature M- Signature Printed �5�►+.. Printed Date 1)-10.O "L Date Inspector Ownerl Representative Revised 12/07/2009 10701 N. College Avenue Suite A Indianapolis, Indiana 46280 phone 317- 844 -9200 fax 317- 844 -9203 www.ctrwd.org Name of Faah tY: t �►�atiin! ''''fir (:)Vf'OeOr:. ��a►i�IG r^'(G �snLLSffDI✓'' Address Number Oye�al€;Faeilrty:Status.. Street r1f`r1�f 1Gtr)C'�r'fJf U� COMPLIANT Location of Device IN VIOLATION Modification Granted Total Fines Invoice Date to Total Fees n Time Follow Total Due IOO S2st Mallagemencpractides Maintenance Log Present Yes No Logs' Files' and: Other: Records:. Posters In Designated Areas Yes O No 1st Offense $200 Inspection Fee Trash Cans by the Sinks ®Yes No 2nd Offense $500 Inspection Fee Garbage Dispsl [],Yes O No oa 3rd Offense $1000 +Inspection Fee Yellow Grease Collection Yes No 4th Offense Revocation of Certificate Certificate of Use and Occupancy Q Yes ED No $500 Per Month Er spectlon` Is Devicc °Accessible Yes No Refusai`ofarispect€on If No Contact County Health Department 1st Refusal $500 Fine Inspection Fee Inspector Able to Open Traptinterceptor ©Yes F7 No F7 2nd Refusal $1000 Fine+ Inspection Fee Water Tight Lids Yes No 3rd Refusal Revocation of Certificate and Water Tight Cleanout A Yes No Board Review for Enforcement Proper Tee Outlet Length Yes No f?retreatmenk Device Flow Regulator in Place ®Yes No El No Pretreatment Device 30 Days to Install Outside Device Infiltration Prevention $500 Fee Inspection Fee and 30 Additional Days After 1st NOV of No Device $100 Per Day Inspection Fee After 2nd NOV of No Device Accidental'DisehSrge; ariii,Samples Limits Failure to Report Accidenta! Discharge O Yes ®No $i00 Per Day From Date of Discharge Over Limit _FOG Discharge_ Sample Yes No $500 Per Sample Trapllntecdeptor Waste J Cleanfig Schedule Depth of Interceptor in x .25 !n Waste Limit Depth of Top Layer In 1st Offense $400 Fine Depth of Settled Solids in 2nd Offense $800 Fine Actual Waste in 3rd Offense $1000 Fine Date of Last CleaninglMaimenance 4th Offense Revocation Certificate Cleaning Schedule Yes No Device Capacity: Device is Over Capacity ®Yes E1 No 1st Offense 15 Business Days to Clean Device 11 Requires Immediate Cleaning n Yes No Inspection Fee mot- O $500 15 Additional Days Inspection Fee NOteS Failure to Clean in 15 Days $100 Per Day of Non Compliance Inspection Fee 2nd Offense $500 Inspection Fee and 15 Business Days to Clean Device $100 Per Day of Non Compliance Inspection Fee After 15 Days 3rd Offense Revocation of Certificate Board Review for Enforcement Signature Signatur Printed _j5ro.. ,uJb� Printed f #?,CFO 1 J ,4 e `1'!l�j1l Date 0 Date Inspector Owner/ Re presentative Revised 1210712009 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Clay Twp Regional Waste District Terms 10701 N College Ave., Suite A Date Due Indianapolis, IN 46240 -1098 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12114109 2412 Food service inspection 200.00 Total F$ 200.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer i Voucher No. Warrant No. Clay Twp Regional Waste District Allowed 20 10701 N College Ave., Suite A Indianapolis, IN 46240 -1098 In Sum of 200.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 2412 4341999 200.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 23 -Dec 2009 Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund