HomeMy WebLinkAbout13004 STOCKDALE HWY (4)PHOENIX FIRE
PROTECTION d3kv
6711 West Goshen Ave.
Visalia, CA 93291
559) 622 -8969
FAX (559) 622 -0167
LIC# C16- 779030
Name J
System Description
Date of Service
Address `}pQj /
q7/
Carbon Dioxide
City 3, N,ee F /"e d ty
Zip °
Xi Cash i ?A
Check # 1'
Terms Net 10 Days
Authorized By:
Phone Serviced By:
d V */
D
Description of Extinguisher
System Description
Date of Service Time
WLX —I
Carbon Dioxide
TankHydro .............................. .............................1Z
Tank........................................ ............................... M
Ann u al Semi - Annual Recharge Install Renovation
0
Fuse Linkq, -
Repll
lac d Cleaned ..........................
Systems Insf fled-to-K tctr's Recommendations ..........
Wet Chemical
Location of System
L - N4g o'v
Cylinder Size Cylinder Size Slave
G-' 4e;l e •V.A
Fuse Links 360 F
Dry Chemical
Fuse Links 500 F Other
Other.......... ............................... .......................
Fuel Shut -Off
Yr ••
Hydrostatic Testi--_''F
Size
Manufacturer Model Number Wet
Hydrostatic
Description ofAutomatic Sytern 9L %:I
Range Guard
yJI \f
Failures & Recommendations
The signature below assures thatthe above stated services have been rendered accordingly. I have
been given authority to allow and approve payment for such required services by the establishment
which has received this service and hereby authorized payment for all services rendered.
Hood System Report
System Description
Date of Service Time A.M. P.M.
TankHydro .............................. .............................1Z
Tank........................................ ............................... M
Ann u al Semi - Annual Recharge Install Renovation
0
Fuse Linkq, -
Repll
lac d Cleaned ..........................
Systems Insf fled-to-K tctr's Recommendations .......... M
Location of System
L - N4g o'v
Cylinder Size Cylinder Size Slave
G-' 4e;l e •V.A
Fuse Links 360 F Fuse Links 450 F Fuse Links 500 F Other
Other.......... ............................... .......................
Fuel Shut -Off Electric Gas Size
Manufacturer Model Number Wet Dry
Production Date Hydro Date Las Serviced
Item Inspected Pass Fail
PullStation ............................. ...............................
GasVavle ................................. ..............................®
Nozzle Location/Appliance Coverage ................. IN,
TankHydro .............................. .............................1Z
Tank........................................ ............................... M
ControlHead ........................... ..............................m
Braketing................................ ............................... It
UL 300 ............. ...
or 0
Fuse Linkq, -
Repll
lac d Cleaned ..........................
Systems Insf fled-to-K tctr's Recommendations .......... M
Filter........................................ ...............................
ExhaustFan ............................ ...............................
Makeup Air ............................ ..............................K1
Other ......................... G{''. °.:.......................,
Other.......... ............................... .......................
Appliance Arrangement
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