HomeMy WebLinkAbout2200 FAITH STREETPre - Engineered Restaurant Fire Suppression Systems Report.
AAA M nLiT Y F11,77N.".. 0, IrN.C.
5'300 SO. IJIViON
BAK'. 7G5= L=_LD, CA 93307 -5426
E01) 833 -5510 FAX 833 -5512
Name
Address
city ep ( d State ZIP
Telephone
r
1 l)t JC - Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
12-7 2 L Z
DATE OF SERVICCEEj TIME
1/6
A.M. P.M.
2. Duct and plenum covered w /correct nozzles 21. Check travel of cable nuts /S -hooks
ANNUAL SEMI -AN AL I RECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS 300UL
2' ES NOl
24. Proper clearance -flame to filters
MANUFACTURER
I
M EL NUMBER WET DRY CHEMICAL
U
7. If system has been discharged, report same 26. All filters in place
C L-IN ER MASTER C LIN R SIZE SLAVE CYLINDER SIZE SLAVESIZE
9. Check cartridge weight (If applicable).
FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
FUEL SHUT -OFF ELECTRIC GAS SIZE
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
12. Inspect cylinder and mount 31. Slave system operational
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. 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). 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 r/ 34. Personnel instructed in manual operation of system
16. Check operation of gas valve 35. Proper hand portable extinguishers
17. Clean nozzles f 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 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 wii:hlthe results indicated above.
SERVICE TECHNICIAN` PERMIT NO. _'[WE: TIME: AM PM, - CUSTOI
The above service technician certifies that the system was personally inspected and found conditions to
AUTHORITY HAVING JURISDICTION
t1 .t ----.
A TRORIZED AGENT
indicated on this report.