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Home My WebLink AboutHOOD REP. 3/12/2012PHOENIX FIRE PROTECTION H 2jg2 PAY FROM THIS INVOICE 210 South Cotta Court Visalia, CA 93292 TEL: (559) 622 -8969 FAX: (559) 622 -9023 LIC # C16- 779030 Name EASl" 01LtS w,00gIt Address 2 s') `I OSL-) cL S7" City State Zip mr is rt =1 Ct v' "' EL Cash M16 Authorized By: y/ 111` Check# Phone Cell Fax Recharge Visa or Mastercard Email Nozzle Location /Appliance Coverage ................. Auth # Description of Automatic System System Description Date of ervi Time A.M. mr is rt =1 1 ) as v:3 Pull Station y/ 111` Annual Semi - Annual Recharge Install Renovation Nozzle Location /Appliance Coverage ................. Range Guard TankHydro ........................... ............................... Location of System w, ; P. - r =• t ?' '040 0 ASS 9A Cylinder Size Fuse Links 360F Fuse Links 450F Fuse Links 50OF Other Braketing........ ...... ............................... 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. Signatu Date )1a 1b" Payment due up ®n completion. Hood Size 1 Nozzle 4W Links d System Report System Description Date of ervi Time A.M. P.M. 1 ) as v:3 Pull Station y/ 111` Annual Semi - Annual Recharge Install Renovation Nozzle Location /Appliance Coverage ................. X TankHydro ........................... ............................... Location of System Cylinder Size Slave t ?' '040 0 ASS 9A Cylinder Size Fuse Links 360F Fuse Links 450F Fuse Links 50OF Other Braketing........ ...... ............................... El Fuel Shut -Off Electric Gas Size Links - eplac r Cleaned ....................... X Manufacturer Model Number Wet Dry C 12 (-, -, s(, 1 K Production Date Hydro Date Last Service 6) r t r ! Serviced By: Type Appl Type Appl Type Appl Type Appl Type Appl Type Appl Distance 50 Distance Distance Distance Distance Distance Nozzle r Nozzle Nozzle Nozzle Nozzle Nozzle Item Inspected Pull Station y/ 111` GO teP Gas Valve / Electrical Cutoff . ............................... Nozzle Location /Appliance Coverage ................. TankHydro ........................... ............................... Tank..................................... ............................... Control Head ........................ ............................... Braketing........ ...... ............................... El El Links - eplac r Cleaned ....................... Systems Installed to Mfctr's Recommendations.. Filter..................................... ............................... ExhaustFan .......................... ............................... Makeup Air .......................... ............................... UL300 .................................. ............................... Filters - Baffle Style .............. ............................... K- Class ................................. ............................... Detection Line ...................... ............................... System Monitored By: Yes No[c PH # Hood& Duct ........................ ............................... Other..................................... ............................... Other..................................... ............................... Type Appl Type Appl Type Appl Type Appl Type Appl Type Appl Distance 50 Distance Distance Distance Distance Distance Nozzle r Nozzle Nozzle Nozzle Nozzle Nozzle