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HomeMy WebLinkAbout1705 17TH STREETPre = Engineered Restaurant Fire Suppression Systerms Report 4?"- /o 7,5;71 /-/ AM QUALITY SERVICES9INC. 5800 SO. UNION 3AKERSFIELD, CA 93307 -5426 8r,l) 533 -5510 FAX 83,3 -5512 Name z± /:I ' i' Address City StateC42- ZIP Telephone 4741/ R Store No. Owner or Manager Z-2- Z_ ilJ ,' COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT DATE OF SE VICE TIME A.M. P.M. 21. Check travel of cable nuts /S -hooks 3. Check positioning of all nozzles. 22. Piping & conduit securely bracketed ANNUAL SEMI - ANNUAL I RECHARGE INSTALLATION RENOVATION LOCATION OF SYSTEM CYLINDERS ULUL 300 a Iv /_ e- AYES C] NO MANUFACTURER MODEL NUMBER WET DRY CHEMICAL 8. es ure gauge in proper range (If gauged) 27. Fuel shut -off in on position 9. peck cartridge weight (If applicable) CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE 29. Replace systems covers 11. 6 yea,maintenance date FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER 9P 171 13. Operate\system from terminal link 32. Clean cylinder & mount FUEL SHUT -OFF ELECTRIC GAS SIZE SERIAL NUMBER LAST HYDRO TEST DATE T LAST RECHARGE DATE 35. Proper hand portable extinguishers D -5 17. Clean nozzles 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. 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. es ure gauge in proper range (If gauged) 27. Fuel shut -off in on position 9. peck cartridge weight (If applicable) 28. Manual & remote set/seals in place 10.- Hydrostatic test date 29. Replace systems covers 11. 6 yea,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 34. Personnel instructed in manual operation of system 16. Check oper ion 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: 45 Elz 144/ 444a n ; -44 7' 4-7.4426_- 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. 19 "ea `I- I / / /' /1/ V -- SERVICE TEOHNICIAN' PERMIT NO. DATE: TIME: AM PM CUST -MER' 3 AUTHORIZED AGENT The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report. uwomvv C;IQN/ r. JURISDICTION Pre"Engineered Restaurant Fire Suppression Systems Report AM ° (2UALM SERVICES, INC. 5800 SO. UNION BAKERSFIELD, CA 93307 -5426 661) 633 -5510 FAX 8.33-!5512 Name- Address / 745: 772 City State ( ,, ZIP 9;1 ;7e Telephone 9/ ' Store No. Owner or Manager grlG /e;1T COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT DATE OF S5RVICE TIME A.M. P.M. 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 ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION LOCATION OF SYSTEM CYLINDERS UL 300 c// G Gz: YES E] NO MANUFACTURER MODEL NUMBER WET DRY CHEMICAL X l e:7 e - 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 CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE GAG FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F OTHER Ii19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW FUEL SHUT -OFF ELECTRIC GAS SIZE Z SERIAL NUMBER LAST HYDROTEST DATE LASTRECHARGE DATE MANUFACTURER'S MANUAL REFERENCE PAGE NUMBER: DRAWING NUMBER: DATE COMMENTS: -4/ Oh 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 TECHNIC A PERMIT NO. DATE: TIME: AM PM IATO ER'S AUTHORIZED AGENT The above service technician certifies that the system was personally inspected and found conditions to be as indicated on'tithis report. AUTHORITY HAVING JURISDICTION 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 :Iiz 26. All filters in place 8. Pressure gauge in proper range (if gauged) 27. Fuel shut -off in on position 9. Check cartridge weight (If applicable) 7Z7 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 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 Ii19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW COMMENTS: -4/ Oh 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 TECHNIC A PERMIT NO. DATE: TIME: AM PM IATO ER'S AUTHORIZED AGENT The above service technician certifies that the system was personally inspected and found conditions to be as indicated on'tithis report. AUTHORITY HAVING JURISDICTION