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HomeMy WebLinkAboutHOOD REPORT 10-25-10Range Hood Systerme Plepwt! SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M. 3. Check positioning of all nozzles. 11-11 22. Piping & conduit securely bracketed ANNUAL MI -AMUFO. RECHARGE IN TALLATION RENOVATION p P P rnn q.CIJi'C7 f,•^^ -. rr ^3 r,/a pip -nBt .r , ` _ ;.may , day° 24. Proper clearance -flame to filters 6. Check if seals intact, evidence of tampering LOCATION OF SYSTEM CYLINDERS UL 300 7. If system has been discharged, report same ILJrES NO 8. Pressure gauge in proper range (If gauged) 9. Check MODELNUMBER WET DRY CHEMICAL cartridge weight (If applicable) JM( ANNUFACTURER remote set/seals place 10. Hydrostatic test date CYLINDE IZE MAS ER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE 30. System operational & seals in place 12. Inspect cylinder and mount 13. Operate from link FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER CUSTOMER Name C _ 1G, t . 14. Test for proper operation from remote 33. Fan warning sign on hood 15. Check operation of micro switch FUEL SHUT-OFF ELECTRIC GAS SIZE Address 1120 S • Uo e d 4q g) x 35. Proper hand portable extinguishers 17. Clean nozzles R/ 36. Portable extinguishers properly serviced SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE City O e 1 State ZIP 0 NOTE DISCREPANICES OR DEFICIENCIES BELOW MANUFACTURER'S MANUAL REFERENCE Telephone Store No. PAGE NUMBER: DRAWING NUMF'R: DATE Owner or Manager AJJ S-) hr !-n (-=9:4 COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT 1. All appliances properly covered w /correct nozzles 20. Replaced fuse links 2. Duct and plenum covered w /correct nozzles 21. Check travel of cable nuts /S -hooks 3. Check positioning of all nozzles. 22. Piping & conduit securely bracketed 4. System installed in accordance w /MFG UL listing 23. Proper separation between fryers & flame 5. Hood /duct penetrations sealed w /weld or UL device 24. Proper clearance -flame to filters 6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order 7. If system has been discharged, report same 26. All filters in place 8. Pressure gauge in proper range (If gauged) 9. Check 27. Fuel shut -off in on position 28. Manual & incartridgeweight (If applicable) 2% remote set/seals place 10. Hydrostatic test date 29. Replace systems covers 11. 6 year maintenance date 30. System operational & seals in place 12. Inspect cylinder and mount 13. Operate from link 31. Slave system operational 32. Clean & QZ lid. system terminal cylinder mount 14. Test for proper operation from remote 33. Fan warning sign on hood 15. Check operation of micro switch 34. Personnel instructed in manual operation of system 16. Check operation of gas valve 35. Proper hand portable extinguishers 17. Clean nozzles R/ 36. Portable extinguishers properly serviced 18. Proper nozzle covers in place V 37. Service & Certification tag on system 19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW COMMENTS: On this date, this range hood fire suppression system was inspected and operationally tested in accordance with the fire suppression system requirements of NFPA17 or 17A, 96 and the manufacturer's manual, with the results indicated above. SERVICE T CHNICIAN PERMIT NO. AT TIME: AM PM -- - '(USTOMER'S AUTHORIZED AGENT The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report. AWHOWN NZWONG JUR11s©llcyllom