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HomeMy WebLinkAbout3150 PANAMA LANERange Hood Systeme . ors SERVICE COMPANY DATE OF SERVICE TIME A.M. P.M. j ANNUAL' EMI - ANNUAL RECHARGE INSTALLATION RENOVATI N GAAA ,f A A/, L9TF7° p1vPn 2+' BA• WG;16'il Iu5JG, 300 LOCATION OF SYSTEM CYLINDERS UL 300 SO. UNION J1 (' '" - ( 1 YES NO MANUFACTURER MODEL N to ER WET DRY CHEMICALBAKEF!v -i'E_ CA 93307 -5426U, 601) 833 -5510 FAX 833 -5512 U CYLINDER SIZE MASTTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE CI t FUSE LINKS 380° F. FUSE LINKS 450° F. FUSE LINKS 500° F OTHER CUSTOMER r Name 1 \ r l FUEL SHU •OFF ELECTRIC GAS SIZE Address . Z t 4PI mi 41 r City ! / State ZIP SERIAL NUMBER LAST HYDROTEST DATE Q LAST RECHARGE DATE MANUFACTURER'S MANUAL REFERENCE Telephone Store No. PAGE NUMBER: DRAWING NUMBER: DATE Owner or Manager COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT v, A '1 ilv *1 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: 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 26. All filters in place 27. Fuel shut -off in on position 28. Manual & remote set/seals in place 29. Replace systems covers 30. System operational & seals in place 31. Slave system operational 32. Clean cylinder & mount 33. Fan warning sign on hood 34. Personnel instructed in manual operation of system 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. DATE: TIME: AM ED AGENT The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.