HomeMy WebLinkAbout13004 STOCKDALE HWY (3)PHOENIX FIRE
PROTECTION H
PAY FROM THIS INVOICE
210 South Cotta Court
Visalia, CA 93292
TEL: (559) 622 -8969
FAX: (559) 622 -9023_
LIC # C 16- 779030
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Name
System Descriptuan
H / Uf Z) N
P.M.
Address
Annual Semi - Annual
City '
leL t, ;,
S €ate Zip
Mw
Cash
Authorized By:
Check#
Vis ot ?Mast'rc''a7d
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FaxonCellFax
Email
Other
Description ofAutomatic System
System Descriptuan
Datpof Se7ice Time A.M. P.M.
Annual Semi - Annual Recharge install
Mw
Lo c tion of System Cyli'jdef.Size Slave
Cylinder Size u
use Links 360E Fine, in_ ks 450E
Nor
Other
Fuel Shyt -Off Electric Gas ) Size
Hydrostatic - u
Manufacturer
t4
Failures & Recommendations:
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0I 11 y 1 C 1 n. ,/ Lx t1
C'rt,urr-(- -v /l'. %XT41t'c . /1 f'-,rA ti 6, \:lCll 1"f 't. lc t
Hood System Report
System Descriptuan
Datpof Se7ice Time A.M. P.M.
Annual Semi - Annual Recharge install Renovation
Lo c tion of System Cyli'jdef.Size Slave
Cylinder Size u
use Links 360E Fine, in_ ks 450E Fuse Links SOOF Other
Fuel Shyt -Off Electric Gas ) Size
Manufacturer Model Number Wet Dry
Propetion Date Hydro Date Last Sejrviced
Serviced By t
Item Inspected gql 0 `
Pull Station ........................... ............................... ®,
Gas Valve / Electrical Cutoff . ............................... M
Nozzle Location /Appliance Coverage ................. Us El El
Tank Hydro ........................... ............................... ®: El
Tank..................................... ............................... M
Control Head ........................ ............................... a,
Braketing.............................. ............................... E•
Fuse Links - Replaced or Cleaned ....................... E'
Systems Installed to Mfctr's Recommendations.. a
Filter ..................................... ............................... r-%;;p` r7 F-1
Exhaust Fan .......................... ............................... [Sk
Make up Air': .......................................................
51
UL300 .................... I............. ............................... M
Filters - Baffle Style .............. ............................... OL
K- Class ................................. ............................... a
1. ®v rtD,tection Line ...................... ...............................
A t I System Monitored By: Yes No Th &sign - ttte 669w ass11ks1tbaK1WNb4Ge dtated s r ic`e2§Q'vle been-w+td a ordit I liav
pH # been given authority to allow and approve payment for such required services y the est blishmen
which has received this service and hereby authorized payment for all services rendered. Hood & Duct ........................ ............................... IR
Other..................................... ...............................
L
1
I r1 [ l 1 Other ..................................... ............................... El El El
Services perfoWeld p r• to 30 clay of ez ration.
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Signature 1A -' kit' i W U A \ \-. V°,Jate
1 0 N Payment due upon completion.
Nozzle ® Links .f.f
Hood
Size
XSTypeApp] APPI `` Type APPI 1 Type APPI
Distance Distance Distance Distance
Nozzle Nozzle Nozzle Nozzle
Type Appl Type Appl
Distance Distance
Nozzle Nozzle _
f