HomeMy WebLinkAbout800 FAIRFVIEW ROADPre - Engineered Restaurant Fire Suppression Systems Repaint
COMPANY
AAA QUALITY SERVICES, INC.
5800 SO. UNION
BAKERSFIELD, CA 93307 -5426
661) 833 -5510 FAX 833 -5512
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CUSTOMER
Name _('-'Cr / /C fir'_ h
Address Te:: lQ - r e 1/I P &L - y
City I !a /< P y P /( State -(/4 ZIP ?
Telephone Store No.
Owner or Manager"_;, / iP/JC Ca
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
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DATE OF SERVICE TIME A.M. P.M.
1. All appliances properly covered w /correct nozzles
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ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION
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3. Check positioning of all nozzles. 22. Piping & conduit securely bracketed
LOCATION OF SYSTEM CYLINDERS UL 300
YES NOViv,C / i.
MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
25. Exhaust fan in operating order
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7. If system has been discharged, report same n
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
z 27. Fuel shut -off in on position
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FCKE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
10- Hydrostatic test date 29. Replace systems covers
FUEL 9AUT -OFF ELECTRIC GAS SIZE
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SERIAL NUMBER LAST HYDRO TEST DATE LAST CHARGE DATE
14. Test for proper operation from remote
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
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SERVICE TECHNICIAN PERMIT NO. ATE: 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.
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1. All appliances properly covered w /correct nozzles 20. Replaced fuse links C
2. Duct and plenum covered w /correct nozzles 21. Check travel of cable nuts /S -hooks T_
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 tamperingI 25. Exhaust fan in operating order
7. If system has been discharged, report same n 26. All filters in place
8. Pressure gauge in proper range (If gauged) z 27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place G
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 f
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 7`
16. Check operation of gas valve 35. Proper hand portable extinguishers
17. Clean nozzles fir 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place 37. Service & Certification tag on system
19. Check fuse links and clean i / NOTE DISCREPANICES OR DEFICIENCIES BELOW
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COMMENTS: t C'r C f .
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.
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SERVICE TECHNICIAN PERMIT NO. ATE: 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.
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