HomeMy WebLinkAboutHOOD REPORT 7-3-12Pre-Engineered Restaurant Fire Suppression Systems Report
SERVICE COMPANY
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CUSTOMER/
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Telephone z5 3Z - 0 YS / Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
DATE OF SERVICE TIME A.M. I P.M.
ANNUAL SEPI-AN RECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS UL 300
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MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
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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
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
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27. Fuel shut -off in on position
FUSE LINKS 360' F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
10. Hydrostatic test date f 29. Replace systems covers
FUEL SHUT -OFF ELECTRIC GAS SIZE
12. Inspect cylinder and mount
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TSERIALNUMBER LAST HYDRO TEST
DAT7
LAST RECHARGE DATE
32. Clean cylinder & mount
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14. Test for proper operation from remote
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
41 - All w /correct nozzles 20. Replaced fuse links
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appliances properly covered
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 O
8. Pressure gauge in proper range (If gauged) 27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place
10. Hydrostatic test date f 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 i 32. Clean cylinder & mount
14. Test for proper operation from remote i 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 l 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 sys e m re uirements of NFPA17 or 17A, 96 and the manufacturer's manual with theesu.l.ts- indicated above.
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SERV CET CHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.,
AUTHORITY HAVING JURISDICTION