HomeMy WebLinkAbout350 CALLOWAY (4)Pre - Engineered Restaurant Fire Suppression Systems Repeat
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5i300 SO. UNION
BAKE- riGrFi cLD, CA 93307 -5426
6561) 833 -5510 FAX 833 -5512
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CUSTOMER
Name ( %Pi'1 tom/ / >/
Address 5 T
City 0/< f d i State v' ZIP
Telephon ;, _ / Store No.
DATE OF SERVICE TIME ` A.M. _ P.M.
ANNUA SEMI -ANNUAL RECHARGE INSTALLATION RENOVATION
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
LOCATION OF SYSTEM CYLINDERS UL 300
V`, V'\ 10C. C1 YES NO
MANUFACTURER MODEL WET DRY CHEMICALNUMlBER
28. Manual & remote set/seals in place
10. Hydrostatic test date 29. Replace systems covers
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
12. Inspect cylinder and mount 31. Slave system operational
FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
33. Fan warning sign on hood _
15. Check operation of micro switch
FUEL SHUT-OFF ELECTRIC GAS SIZE
17. Clean nozzles i 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
1 NOTE DISCREPANICES OR DEFICIENCIES BELOW
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
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. i 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 2&.. 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) 28. Manual & remote set/seals in place
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 _
15. Check operation of micro switch 34. Personnel instructed in manual operation of system
16. Check operation of gas valve 35. Proper hand portable extinguishers
17. Clean nozzles i 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place 37. Service & Certification tag on system
19. Check fuse links and clean 1 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 system requirements of NFPA17 or 17A, 96 and the manufacturer's manual with the results indicated above.
X
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOI4IER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.