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Home My WebLink AboutHOOD REP. 3/3/2011PHOENIX FIRE PROTECTION C_ vb1 r o Ct, A(i 1, U,, West Goshen Ave. Visalia CA 93291 559) 622 -8969 FAX (559) 622 -0167 LIC# C16- 779030 Name rry 6. Date of Service Time v TankHydro ............................ ............................... Address,. An nu al Semi- Annual City // 1 iGd,t''' r. f1 State.. J ,•, Zip Cash Check #' " Terms Net 10 Days Authorized By: Phone, Serviced By: lvw, ,! Description • . System Description Date of Service Time Carbon TankHydro ............................ ............................... Tank........................................ ............................... An nu al Semi- Annual Recharge Install Renovation Fuse Links pla or Cleaned ......................... Wet Chemical Location of System d-O Cylinder Size Z . 5— i%a/ Cylinder Size Slave Fuse Links 6Q F Fuse Links 450 F Fuse Links 500 F Other Other................ ......... . .............................. PAI 1 Dry Chemical Fuel Shut -Off Electric Gas Size Hydrostatic Testing Model Number Wet Dry ProductionD`ate Hydro Date Last Serviced Go Description of Automatic Sytern Rang Guard Hydrostatic Testi 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 performed prior to 30 days of expiration Hood System Report System Description Date of Service Time A.M. P.M. TankHydro ............................ ............................... Tank........................................ ............................... Annual Semi- Annual Recharge Install Renovation Fuse Links pla or Cleaned ......................... Systems Installed to Mfctr's Recommendations .......... Location of System d-O Cylinder Size Z . 5— i%a/ Cylinder Size Slave Fuse Links 6Q F Fuse Links 450 F Fuse Links 500 F Other Other................ ......... . .............................. PAI Fuel Shut -Off Electric Gas Size Manufacturer Model Number Wet Dry ProductionD`ate Hydro Date Last Serviced Go Signature ` Date r ' Payment due upon completion. Item Inspected Pass Fail PullStation .............................. ..............................] GasVavle ............................... ............................... Nozzle Location/Appliance Coverage ................. TankHydro ............................ ............................... Tank........................................ ............................... ControlHead ......................... ............................... m Braketing................................ ............................... UL300 ......... ..... ..................... ............................... Fuse Links pla or Cleaned ......................... Systems Installed to Mfctr's Recommendations .......... Filter.......................................... :............................ ExhaustFan ............................ ............................... a Makeup Air ........................... ............................... 0' Gti 1Other..................................... ............................... Other................ ......... . .............................. PAI Appliance Arrangement