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HomeMy WebLinkAboutHOOD REP. 9/2/2011PHOENIX FIRE PROTECTION 115501 PAY FROM THIS INVOICE 21.0 South Cotta Court Visalia, CA 93292 TEL: (559) 622 -8969 FAX: (559) 622 -9023 LIC # C 16- 779030 Name 11 Address 4 City '% f t Sta Zip I PCash FAP Authorized By: Carbon . Check# ot}e' / J Cel1 Fax Visa or Mastercard Email Auth # Description of _ 1 Carbon . Description OfAutomatic System Parts & Materials Fuse Links Blow Off Caps/Seals Pressurized Cartridges l- IFirewyLF1Extinguisher Credit - NA"i Failures & Recommendations: The signature below assures that the above stated services have been rendered accordingly. I have been given authority to allow and approve payment for such required services by the establishment which has received this service and hereby authorized payment for all services rendered. Services perfo' e prior to 30 days yfbpiration. Signature ate Payment due up®>il - completion. Hood Size I() Nozzle - 41111111 Links V Hood System Report System Desc>ripUon Dat f.Servicgg f Time A.M. P.M. Annual Semi - Annual Recharge Install Renovation Location of ( /System \ 1 Cylinder Size Slave Cylinder Size ,- C.. Fuse Links 360F Fuse Links 450F Fuse Links 50OF Other Fuel Shut -Off Electric Gas Size 11/ Y.. Manufacturer Model Number Wet Dry Production Date Hydro Date Last Service Serviced By: le Item Inspected Qagg Fa Go" ep Pull Station ........................... ............................... Gas Valve / Electrical Cutoff . ............................... , Nozzle Location /Appliance Coverage ................. r TankHydro .......................... ............................... Q Tank..................................... ............................... Control Head ........................ ............................... El El Braketin Fuse Links - Replaced or leaned ........ ............ Systems Installed to Mfetr's Recommendations .. Filter ..................................... ............................... ExhaustFan .......................... ............................... Makeup Air .......................... ............................... UL300 .................................. ............................... t .. Filters - Baffle Style .............. ............................... K- Class ................................. ............................... ', Detection Line ...................... ............................... System Monitored By: Yes No' PH # Hood& Duct ........................ ............................... Other..................................... ............................... Other..................................... ............................... Type Appl `` ` Type Appl Type Appl Type App] Type App] Type Appl Distance A Distance Distance Nozzle Nozzle Nozzle Distance Distance Distance Nozzle Nozzle Nozzle _ Parts & Materials Fuse Links Blow Off Caps/Seals Pressurized Cartridges l- IFirewyLF1Extinguisher Credit - NA"i Failures & Recommendations: The signature below assures that the above stated services have been rendered accordingly. I have been given authority to allow and approve payment for such required services by the establishment which has received this service and hereby authorized payment for all services rendered. Services perfo' e prior to 30 days yfbpiration. Signature ate Payment due up®>il - completion. Hood Size I() Nozzle - 41111111 Links V Hood System Report System Desc>ripUon Dat f.Servicgg f Time A.M. P.M. Annual Semi - Annual Recharge Install Renovation Location of ( /System \ 1 Cylinder Size Slave Cylinder Size ,- C.. Fuse Links 360F Fuse Links 450F Fuse Links 50OF Other Fuel Shut -Off Electric Gas Size 11/ Y.. Manufacturer Model Number Wet Dry Production Date Hydro Date Last Service Serviced By: le Item Inspected Qagg Fa Go" ep Pull Station ........................... ............................... Gas Valve / Electrical Cutoff . ............................... , Nozzle Location /Appliance Coverage ................. r TankHydro .......................... ............................... Q Tank..................................... ............................... Control Head ........................ ............................... El El Braketin Fuse Links - Replaced or leaned ........ ............ Systems Installed to Mfetr's Recommendations .. Filter ..................................... ............................... ExhaustFan .......................... ............................... Makeup Air .......................... ............................... UL300 .................................. ............................... t .. Filters - Baffle Style .............. ............................... K- Class ................................. ............................... ', Detection Line ...................... ............................... System Monitored By: Yes No' PH # Hood& Duct ........................ ............................... Other..................................... ............................... Other..................................... ............................... Type Appl `` ` Type Appl Type Appl Type App] Type App] Type Appl Distance A Distance Distance Nozzle Nozzle Nozzle Distance Distance Distance Nozzle Nozzle Nozzle _ Failures & Recommendations: The signature below assures that the above stated services have been rendered accordingly. I have been given authority to allow and approve payment for such required services by the establishment which has received this service and hereby authorized payment for all services rendered. Services perfo' e prior to 30 days yfbpiration. Signature ate Payment due up®>il - completion. Hood Size I() Nozzle - 41111111 Links V Hood System Report System Desc>ripUon Dat f.Servicgg f Time A.M. P.M. Annual Semi - Annual Recharge Install Renovation Location of ( /System \ 1 Cylinder Size Slave Cylinder Size ,- C.. Fuse Links 360F Fuse Links 450F Fuse Links 50OF Other Fuel Shut -Off Electric Gas Size 11/ Y.. Manufacturer Model Number Wet Dry Production Date Hydro Date Last Service Serviced By: le Item Inspected Qagg Fa Go" ep Pull Station ........................... ............................... Gas Valve / Electrical Cutoff . ............................... , Nozzle Location /Appliance Coverage ................. r TankHydro .......................... ............................... Q Tank..................................... ............................... Control Head ........................ ............................... El El Braketin Fuse Links - Replaced or leaned ........ ............ Systems Installed to Mfetr's Recommendations .. Filter ..................................... ............................... ExhaustFan .......................... ............................... Makeup Air .......................... ............................... UL300 .................................. ............................... t .. Filters - Baffle Style .............. ............................... K- Class ................................. ............................... ', Detection Line ...................... ............................... System Monitored By: Yes No' PH # Hood& Duct ........................ ............................... Other..................................... ............................... Other..................................... ............................... Type Appl `` ` Type Appl Type Appl Type App] Type App] Type Appl Distance A Distance Distance Nozzle Nozzle Nozzle Distance Distance Distance Nozzle Nozzle Nozzle _ le Item Inspected Qagg Fa Go" ep Pull Station ........................... ............................... Gas Valve / Electrical Cutoff . ............................... , Nozzle Location /Appliance Coverage ................. r TankHydro .......................... ............................... Q Tank..................................... ............................... Control Head ........................ ............................... El El Braketin Fuse Links - Replaced or leaned ........ ............ Systems Installed to Mfetr's Recommendations .. Filter ..................................... ............................... ExhaustFan .......................... ............................... Makeup Air .......................... ............................... UL300 .................................. ............................... t .. Filters - Baffle Style .............. ............................... K- Class ................................. ............................... ', Detection Line ...................... ............................... System Monitored By: Yes No' PH # Hood& Duct ........................ ............................... Other..................................... ............................... Other..................................... ............................... Type Appl `` ` Type Appl Type Appl Type App] Type App] Type Appl Distance A Distance Distance Nozzle Nozzle Nozzle Distance Distance Distance Nozzle Nozzle Nozzle _