HomeMy WebLinkAbout123 18 STREET (2)Pre - Engineered Restaurant Fire Suppression Systems Report
SERVICE COMPANY
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liv I) Z33-5451 V FAX 8_00-30 1 2
Name Las - a,roS Ae- k \vacNon
Address \? 1 C _ 19,
City 6r,.!& 2 C4 cm% n 1 j StateC _ ZIP5_lsQS
Telephone Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
DATE OF SERVICE . TIME A.M. P.M.
5- f - 7 3o 1 i I
ANNUAL SEMI- ANNUAL RECHARGE
5. Hood /duct penetrations sealed w /weld or UL device
RENOVATION
24. Proper clearance -flame to filters
6. Check if seals intact, evidence of tampering
j_______i_NSTALLATIONI
25. Exhaust fan in operating order
7. If system has been discharged, report same AL/,4
LOCATION OF SYSTEM CYLINDERS UL 300
L eCC $, d 2 o "OUA
FES NO
MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
Pyro
29. Replace systems covers
11. 6 year maintenance date 30. System operational & seals in place /
PCL300
31. Slave system operational N\ IT
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
14. Test for proper operation from remote 33. Fan warning sign on hood
FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
35. Proper hand portable extinguishers
t 1 3
36. Portable extinguishers properly serviced
FUEL SHUT -OFF ELECTRIC GAS SIZE
NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS:
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
06
MANUFACTUREITS MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
Grr I (- 1- '15 LA r- NC2. Pv+ -1 )L4 Ir
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 L
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 AL/,4 26. All filters in place /
8. Pressure gauge in proper range (If gauged) 27. Fuel shut -off in on position i
9. Check cartridge weight (If applicable) - r 28. Manual & remote set/seals in 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 31. Slave system operational N\ IT
13. Operate system from terminal link 32. Clean 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 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place 37. Service & Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS:
On this date, this pre - engineered 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.
X
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUS TOMER' AUTHORIZED AG T
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
4
Pre- Engineered Restaurant Fire Suppression Systems Report
s
r . • n n y 7 a ^n n. rai ra .n +.ra
0 X33 -5510 FAX 6070 -3 _31.2
1 '7
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Name Las -Tacos cle Nu„rtr,c.
Address 2 -2) f
City lie. Ke f P r1 State CA ZIPS _r
Telephone Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
vr; it I i f-r '
DATE OF SERVICE TIME A.M.. I P.M.
ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION
TIME:
22. Piping & conduit securely bracketed
I
4. System installed in accordance w /MFG UL listing
LOCATION OF SYSTEM CYLINDERS UL 300
2 C d (-I V C7 d ga-lES NO
MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
25. Exhaust fan in operating order
7.
7. If system has been discharged, report same
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F
I
OTHER
FUELSHUT -OFF ELECTRIC GAS SIZE
29. Replace systems covers
11. 6 year maintenance date
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
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:
TIME:
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 f' 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)
I
27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in 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 31. Slave system operational
13. Operate system from terminal link 32. Clean cylinder & mount
14. Test for proper operation from remote 33. Fan warning sign on hood
15. Check operation of micro switch T_ 34. Personnel instructed in manual operation of system
16. Check operation of gas valve 35. Proper hand portable extinguishers
17. Clean nozzles 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place 37. Service & Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS:
On this date, this pre- engineered 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.
x` Z4 IZ-b IZ. o
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM WSTO ER'S AUTHORIZED AG y
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
AUTHORITY HAVING JURISDICTION