HomeMy WebLinkAbout2620 MING AVENUE (2)Pre - Engineered Restaurant Fire Suppression Systems Report
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Name 30Dh fy E -t C n/ r t9%y26IN ;
Address
State ZIP
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Telephone ' // _ > % /1 2 Store No.
Owner or Manager r 4 !
COOKING APPLIANCE LOCATIONS* LEFT TO RIGHT
DATE OF SERVICE TIME A.M. P.M.
9- ,l. /7- 7:00
22. Piping & conduit securely bracketed
ANNUAL SEMI- ANNUAL RECHARGE INSTALLATION RENOVATION
24. Proper clearance -flame to filters i
25. Exhaust fan in operating order c
LOCATION OF SYSTEM CYLINDERS UL 300
BYES NO
IC
MANUFACTURER
6,
MOjDEELL`NUM ER WET DRY CHEMICAL
gA•16 C
x 29. Replace systems covers X
CYLINDER SI2 MASTER
CA`
CYLINDER SIZE SLAVE
y
CYLINDER SII E SLAVE
7,
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FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F OTHER
33. Fan warning sign on hood
C 34. Personnel instructed in manual operation of system
35. Proper hand portable extinguishers
FUEL SHUTT- -OFF ELECTRIC GAS SIZE
LAST
k- L N c r
SERIAL NUMBER HYDROTEST DATE LAST RECHARGE DATE
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MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
IIyA /z/yic1C.
1. All appliances properly covered w /correct nozzles
2. Duct and plenum covered w /correct nozzles
3. Check positioning of all nozzles.
4. System installed in accordance w /MFG UL listing
5. Hood /duct penetrations sealed w /weld or UL device
6. Check if seals intact, evidence of tampering
7. If system has been discharged, report same
8. Pressure gauge in proper range (If gauged)
9. Check cartridge weight (If applicable)
10. Hydrostatic test date
11. 6 year maintenance date
12. Inspect cylinder and mount
13. Operate system from terminal link
14. Test for proper operation from remote
15. Check operation of micro switch
16. Check operation of gas valve
17. Clean nozzles
18. Proper nozzle covers in place
19. Check fuse links and clean
COMMENTS:
1 20. Replaced fuse links
116
21. Check travel of cable nuts /S -hooks
22. Piping & conduit securely bracketed
1. All appliances properly covered w /correct nozzles
2. Duct and plenum covered w /correct nozzles
3. Check positioning of all nozzles.
4. System installed in accordance w /MFG UL listing
5. Hood /duct penetrations sealed w /weld or UL device
6. Check if seals intact, evidence of tampering
7. If system has been discharged, report same
8. Pressure gauge in proper range (If gauged)
9. Check cartridge weight (If applicable)
10. Hydrostatic test date
11. 6 year maintenance date
12. Inspect cylinder and mount
13. Operate system from terminal link
14. Test for proper operation from remote
15. Check operation of micro switch
16. Check operation of gas valve
17. Clean nozzles
18. Proper nozzle covers in place
19. Check fuse links and clean
COMMENTS:
1 20. Replaced fuse links
116
21. Check travel of cable nuts /S -hooks
22. Piping & conduit securely bracketed 7
23. Proper separation between fryers & flame
Y 24. Proper clearance -flame to filters i
25. Exhaust fan in operating order c
26. All filters in place
IC 27. Fuel shut -off in on position
X 28. Manual & remote set/seals in place_
x 29. Replace systems covers X
30. System operational & seals in place
r 31. Slave system operational
k 32. Clean cylinder & mount
V 33. Fan warning sign on hood
C 34. Personnel instructed in manual operation of system
35. Proper hand portable extinguishers
36. Portable extinguishers properly serviced
X 37. Service & Certification tag on system
NOTE DISCREPANICES OR DEFICIENCIES BELOW
On this date, this pre- engineered fire suppression system was inspected and operationallyrtested in accordance wit11th- e'.fire
suppression system requirements of NFPA17 or 17A, 96 and the manufacturer's manual with /lhe results indicated, above.
X 116
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM `CUSTOMER'S AUTHORIZEDKAGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this }report.
AUTHORITY HAVING JURISDICTION