HomeMy WebLinkAbout2400 PLANZ ROAD (3)Pre - Engineered Restaurant Fire Suppression Systems Report
SERVICE COMPANY DATE OF SERVICE
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TIME A.M.
ANNUAL SEMI - ANNUAy-RECHARGE
LCYLINDERS
INSTALLATION RENOVATION
22. Piping & conduit securely bracketed
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4. System installed in accordance w /MFG UL listing L 23. Proper separation between fryers & flame
5. Hood /duct penetrations sealed w /weld or UL device
LOCATION OF SYSTEM
1 /
UL 300
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MANUFACTURER
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Y MODEL NUMBER
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WET DRY CHEMICALVZ:r, 1: LD, CA C "3WO7 -?Ci
ti ;vi) G33 -5510 FAX 633 -5512
CYLINDER SIZ MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
CFUSE
27. Fuel shut -off in on position
LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500° F. OTHER
CUSTOMER
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11. 6 year maintenance date 30. System operational & seals in place
FUELS UT -OFF ELECTRIC GAS SIZE
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32. Clean cylinder & mount
14. Test for proper operation from remote
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATEyf
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16. Check operation of gas valve"
MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
17. Clean nozzles
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
20. Replaced fuse links
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21. Check travel of cable nuts /S -hooks
3. Check positioning of all nozzles.
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 L 23. Proper separation between fryers & flame
5. Hood /duct penetrations sealed w /weld or UL device i 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 i 33. Fan warning sign on hood T
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 36. Portable extinguishers properly serviced
18. Proper nozzle covers in place 37. Service & Certification tag on system 1
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 manug1'with the results-indicated above.
SEHVIGE TEGHNIGIAN PERMIT NO. DATE: TIME: AM PM u GU5T0MEH'5 AU I HUHILEU ADEN I
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this,r96t.
AUTHORITY HAVIMG JURISDICTION