HomeMy WebLinkAbout210 MONTEREY STREETRange Hood Systems .Report.
SERVICE COMPANY DATE OF SERVICE TIME A.M.
21. Check travel of cable nuts /S -hooks
ANNUAL SE - NU9L - RECHARGE INSTALLATION RENOVATION
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23. Proper separation between fryers & flame
5. Hood /duct penetrations sealed w /weld or UL device 24. Proper clearance -flame to filters
LOCATION OF SYSTEM CYLINDERS
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UL 300
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CYLINDER SIZE MASTER
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CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
28. Manual & remote set/seals in place i
FUSE S 60° F. FUSE LINKS 450° F. FUSE LINKS 500' F. OTHER
CUSTOMER
Name
12. Inspect cylinder and mount 31. Slave system operational
13. Operate system from terminal link
fGl -' - FUEL SHUT -OFF TRIC GAS SIZE
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i 34. Personnel instructed in manual operation of system
16. Check operation of gas valve 35. Proper hand portable extinguishers
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
CityV State ZIP
37. Service & Certification tag on system
19. Check fuse links and clean
MANUFACTURER'S MANUAL REFERENCE
Telephone 2 2 4G, Store No.
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
1. All appliances properly covered w /correct nozzles
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21. Check travel of cable nuts /S -hooks
3. Check positioning of all nozzles. 22. Piping & conduit securely bracketed
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. Pressure gauge in proper range (If gauged) 27. Fuel shut -off in on position
9. Check cartridge weight (If applicable) 1 28. Manual & remote set/seals in place i
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 i
15. Check operation of micro switch i 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 range hood 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.
SERVICE T CHI NICIAN PERMIT NO. 1 TE: 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.
AUTHOROTY HAVINQ JURIISDUCTOOM