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Home My WebLink About1701 NEW STINE ROADPHOENIX FIRE PROTECTION PAY FROM THIS INVOICE 210 South Cotta Court Visalia, CA 93292 TEL: (559) 622 -8969 FAX: (559) 622 -9023 LIC # C16-779030 Name Type App] System Desc ip llon Date of Ser ice Time j t Address' 701 Install Renovation i City 5 ` j% tate j Zip I 11 Cash Check# Visa or Mastercard Auto •• ed By: //y' 3r` '( cation of Sy err) ll Ph7, K) e ellC Fax Email Cylinder Size Auth # Hood System Report Type App] System Desc ip llon Date of Ser ice Time A.M. P.M. Annual Sem• pual Recharge Install Renovation i cation of Sy err) ll Cyr Size Slave Cylinder Size Fus_e"Eiqd3661Fuse inks 450E Fuse Links 500F Other Fuel Shut -Off El ct ric Gas Size Manufacturer My>l b Wet Dry j/f Hydroo r6, Production Date Date I,agt Serviced Serviced By: AA 1 Item Inspected 1< a` PullStation ........................... ............................... Gas Valve / Electrical Cutoff . ............................... Nozzle Location /Appliance Coverage ................. - TankHydro ........................... ............................... Tank..................................... ............................... ControlHead ........................ ............................... Braketing.............................. ............................... Fuse Links - Replaced or Cleaned ....................... Systems Installed to Mfctr's Recommendations.. Filter..................................... ............................... Failures &:Recommendations: Exhaust Fan .......................... ............................... Makeup Air .......................... ............................... UL300 .................................. ............................... Filters - Baffle Style .............. ............................... K- Class ................................. ............................... Detection Line ........................ .............................Oz- / The signature below assures that the above stated services have been rendered accordingly. I have System Monitored By: Yes LNO been given authority to allow and approve payment for such required services by the establishment PH # which has received this service and hereby authorized payment for all services rendered. Hood & Duct ........................ ............................... Other..................................... ............................... Other ..................................... ............................... El El El Services performed prior to 30 days of expiration. _ Signature t Hood Size Nozzle 4W Links Type App] Type App] Distance Distance Nozzle Nozzle _ Date Payment due upon completion. Type App] Type App] Type App] Type Appl Distance Nozzle Distance Nozzle Distance Nozzle Distance_ Nozzle —