HomeMy WebLinkAbout350 CALLOWAYRange Hood Systems Report
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CUSTOMER
Name %22` l % :,i/ % 6,;, )t,l
Address '11 _30) _; 1/i lA
City
Telephone
Owner or Manager
State ZIP
Store No
DATE OF SERV/ICE TIME 2 Aim, P.M.
7
22. Piping & conduit securely bracketed
ANNUAL SEMI -ANN AL RECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS UL 300
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25. Exhaust fan in operating order
MANUFACTURER MODELNUMBEh WET DRY CHEMICAL
A 28. Manual & remote set/seals in place
T 29. Replace systems covers
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360° F FUSE LINKS 450° F FUSE LINKS 500° F. OTHER
FUEL SHUT -OFF ELECTRIC GAS SIZE
34. Personnel instructed in manual operation of system
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
20. Replaced fuse links
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22. Piping & conduit securely bracketed
1. All appliances properly covered w /correct nozzles
2. Duct and plenum covered w /correct nozzles
3. Check positioning of all nozzles.
4. System installed in accordance w /MFG UL listing
5. Hood /duct penetrations sealed w /weld or UL device
6. Check if seals intact, evidence of tampering
7. If system has been discharged, report same
8. Pressure gauge in proper range (If gauged)
9. Check cartridge weight (If applicable)
10. Hydrostatic test date
11. 6 year maintenance date
12. Inspect cylinder and mount
13. Operate system from terminal link
14. ,Test for proper operation from remote
15. Check operation of micro switch
16. Check operation of gas valve
17. Clean nozzles
18. Proper nozzle covers in place
19. Check fuse links and clean
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.
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SERVICE TECHNICIAN 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.
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20. Replaced fuse links
21. Check travel of cable nuts /S -hooks
22. Piping & conduit securely bracketed
23. Proper separation between fryers & flame T
24. Proper clearance -flame to filters
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25. Exhaust fan in operating order
26. All filters in place
i 27. Fuel shut -off in on position
A 28. Manual & remote set/seals in place
T 29. Replace systems covers
30. System operational & seals in place i
n 31. Slave system operational A /A
cl_ 32. Clean cylinder & mount A
33. Fan warning sign on hood
34. Personnel instructed in manual operation of system
35. Proper hand portable extinguishers
36. Portable extinguishers properly serviced
37. Service & Certification tag on system
NOTE DISCREPANICES OR DEFICIENCIES BELOW
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.
X A// ,;,,/W , 7 111 // 1 U? - 7= ---I „
SERVICE TECHNICIAN 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.
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