HomeMy WebLinkAbout1201 24TH STREET (4)@ice
PHOENIX FIRE
PROTECTION H U 2 2
G PAY FROM THIS INVOICE
Nam
GlvGlf. d' t JSe'
210 South Cotta Court
dress %
a0
Visalia, CA 93292
A.M.
ig
TEL: (559) 622 -8969
Sptaje; Zip
FAX: (559) 622 -9023
J
Ctl
LIC # C16-779030
Nam
GlvGlf. d' t JSe'
System Description
dress %
a0 e po
A.M.
ig
Ci t` Sptaje; Zip
Semi-Annual
J
Ctl
l Cash
Check#
Authorized By:
Phone Cell Fax
Cylinder Si
Visa or Mastercard
e JAuth #
Email
Description of Extinguisher
System Description
Date of Service
U gi lz
Time
2:30
A.M.
ig
X
Carbon Dioxide
Semi-Annual Recharge Install Renovation
oc do f Sy temt/
Cylinder Size Slave
er
Cylinder Si
Fuse Links 3W Fusks 450E use Links 500E
Wet Chemical
Fuel Shut -Off Electric Gas Size
a fturAe
t
Mo I N um b(er
li
Wet Dry
Production D to
aY
Hydro Date
Dry Chemical
Nozzle Location /Appliance Coverage .................
O
Serviced y '
Hydrostatic Testing
Nitrogen Tank Hydro ........................... ...............................
Description ofAutomatic System Service Inspection Re- Charge Quantity
Ansul
Pyro-Chem i
Range Guard
Kiddie
Hydrostatic Testing
Hood System Report
System Description
Date of Service
U gi lz
Time
2:30
A.M.
ig
P.M.
k
Annual Semi-Annual Recharge Install Renovation
oc do f Sy temt/
Cylinder Size Slave
er
Cylinder Si
Fuse Links 3W Fusks 450E use Links 500E Other
Fuel Shut -Off Electric Gas Size
a fturAe
t
Mo I N um b(er
li
Wet Dry
Production D to
aY
Hydro Date Last Serviced
Nozzle Location /Appliance Coverage .................
O
Serviced y '
Signature ` (i i ;% pate li)4)y ,
Payment due upon completion.
D!Nozzle. Links
Flood
Size
j
C)C1 it
Type Appl Type Appl k i (
t`
Distance 5 Distance
Nozzle ! W Nozzle
Type Appl
t J fv 1l f Type APPI V? Type APP) Type Appl
Distance_ - Distance ' ti Distanc
9::
Distance 6/
Nozzle Nozzle 5N Nozzle Nozzle
eb
Blow Off Caps /Seals Item Inspected
Pressurized Cartridges Pull Station ........................... ...............................
Q9ye
9 El F-1
Gas Valve / Electrical Cutoff . ............................... 54, Fire Extinguisher Size
Nozzle Location /Appliance Coverage ................. 99
Nitrogen Tank Hydro ........................... ...............................
Tank ..................................... ............................... 01
Credit Surcharge Control Head ........................ ............................... 9
Braketing................. ... ...............................
Fuse Links C e I&aced,er leaned ....................... El
Systems Installed to Mfctr's Recommendations.. E
Filter................. ...............................
Failures &Recommendations: ^ < <= ' <` a r + w ^ Exhaust Fan .......................... ............................... 1:1 F1
t Make up Air .......................... ............................... 9[
UL300 .................................. ...............................
o , y0 Filters - Baffle Style .............. ...............................
K- Class ................................. ...............................
Detection Line ...................... , ................... ........... D' E] El
The signature below assures that the above stated services have been rendered accordingly. I have System Monitored By: hLJJ<_ 1AIv Yes eNo
been given authority to allow and approve payment for such required services by the establishment PH #
rHood & Ductwhichhasreceivedthisserviceandherebyauthorizedpaymentforallservicesrendered.
Other..................................... ...............................
Other ..................................... ............................... El El El
Services performed prior to 30 days of expiration.
Signature ` (i i ;% pate li)4)y ,
Payment due upon completion.
D!Nozzle. Links
Flood
Size
j
C)C1 it
Type Appl Type Appl k i (
t`
Distance 5 Distance
Nozzle ! W Nozzle
Type Appl
t J fv 1l f Type APPI V? Type APP) Type Appl
Distance_ - Distance ' ti Distanc
9::
Distance 6/
Nozzle Nozzle 5N Nozzle Nozzle