HomeMy WebLinkAbout350 CALLOWAY (3)Pre - Engineered Restaurant Fire Suppression Systems Report
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Name K--7
Addresses
silty
Telephone
State ZIP
Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
DATE OF SERVIC TIME M. P.M.
ANNUAL SE I- NNUAL RECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS
PI 1XI 4,
UL 300
YES NO
MANUFACTURER MODEL NUMBER T DRY CHEMICAL
CYLI DER 512 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
SERIAL NUMBER LAST HYDROTEST DATE LAST RECHARGE DATE.'
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
f1i i Y1 ;1 /r--. f2-,
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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) r/ 28. Manual & remote set/seals in place -
10. Hydrostatic test date 1410 29. Replace systems covers
11. 6 year maintenance date 30. System operational & seals in place
12. Inspect cylinder and mount 31. Slave system operational j1
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 34. Personnel instructed in manual operation of system i
16. Check operation of gas valve 35. Proper hand portable extinguishers
17. Clean nozzles i 36. Portable extinguishers properly serviced i
18. Proper nozzle covers in place i 37. Service & Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW i
COMMENTS:
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.
SERVICE TECH ICIAN PERMIT NO. DAT TIME: AM PM CUSTOMER'S AUTHORZED 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