HomeMy WebLinkAboutRange Hood Systems Report 10/24/2011Range Hood Systems Report
AAA CUftLITY SERVICES, IONC.
5300 SO. UNION
BAKERSFIELD, CA 93307 -54' -5
661) 833 -5510 FAX 833 -5 i
CUSTOMER
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Name O G 4-f-c/('t• Gn i(C
Address 2 3
City u /'( State 4& ZIP s
Telephone 2 - Q2 6:6 Store No.
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
DATE OF SERVICE TIME A.M.
6 r_ !
22. Piping & conduit securely bracketed
23. Proper separation between fryers & flame
ANNUAL SEMI- ANN RECHARGE INSTALLATION RENOVATION
25. Exhaust fan in operating order
UAL
6/
IZV-0 26. All filters in place
LOCATION OF SYSTEM CYLINDERS UL 300
f ` f;jWeS' NO
28. Manual & remote set/seals in place T
MANU ACTURER ODEL NUMBER WET DRY CHEMICAL.
30. System operational & seals in place V
31. Slave system operational
32. Clean cylinder & mount
CYLINDER SIZE MASTER C91 NhF SIZE SLAVE CYLINDER SIZE SLAVE
34. Personnel instructed in manual operation of system
FU INKS 360° F FUSE LINKS 450° F. FUSE LINKS 500° F OTHER
FUEL SHUT -OFF ELECTRIC GAS SIZE
NOTE DISCREPANICES OR DEFICIENCIES BELOW
SERIAL NUMBER LAST HYDROTEST DATE LAST RECHARGE DATE
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
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.
X
SERVICE TECHNICIAN PERMIT NO. ' %D]kTE: c 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.
20. Replaced fuse links
21. Check travel of cable nuts /S -hooks
22. Piping & conduit securely bracketed
23. Proper separation between fryers & flame
24. Proper clearance -flame to filters
25. Exhaust fan in operating order
IZV-0 26. All filters in place
27. Fuel shut -off in on position
T 28. Manual & remote set/seals in place T
29. Replace systems covers
4 30. System operational & seals in place V
31. Slave system operational
32. Clean cylinder & mount
7714 33. Fan warning sign on hood
34. Personnel instructed in manual operation of system
1T 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
SERVICE TECHNICIAN PERMIT NO. ' %D]kTE: c 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.