HomeMy WebLinkAbout2200 FAITH STREET (2)Pre - Engineered Resta rant Fire Suppression Systems Report
SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M.
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y ANNUAL SEMI - ANNUAL I RECHARGE INSTALLATION RENOVATION
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7. If system has been discharged, report same AI • 26. All filters in place
8. Pressure gauge in proper range (If gauged)
LOCATION OF SYSTEM CYLINDERS
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UL 300
DYES NO
MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
30. System operational & seals in place
2 , SD
12. Inspect cylinder and mount 31. Slave system operational
FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
CUSTOMER
Name'.. ' I J f L ., V\ C tiV A f . t
15. Check operation of micro switch t 34. Personnel instructed in manual operation of system i
16. Check operation of gas valve
pUEL SHUTOFF ELECTRIC GAS SIZE
Address
i 37. Service & Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
SERIAL NUMBER LAST HYDROTEST DATE LAST RECHARGE DATE
City) Stater ZIP `1 - `.0 UZ
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER: - DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
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3. Check positioning of all nozzles. V 22. Piping & conduit securely bracketed
4. System installed in accordance w /MFG UL listing
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. V 22. Piping & conduit securely bracketed
4. System installed in accordance w /MFG UL listing 23. Proper separation between fryers & flame
15. 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 f
7. If system has been discharged, report same AI • 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 r 32. Clean cylinder & mount
14. Test for proper operation from remote 33. Fan warning sign on hood
15. Check operation of micro switch t 34. Personnel instructed in manual operation of system i
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 i 37. Service & Certification tag on system
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
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COMMENTS: - ` } < - ^ ; it 1 C'7v,4 2, T- A ) 6 Z7
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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.
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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.
QM U`N='rV MAVIMQ JURISDICTION