HomeMy WebLinkAbout3835 MING AVENUERange Hood Systems Report
Owner or Manager "p, rffe
COnKING APPI IANCF / OrATION.S- I FFT Tn RIGHT
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SERVICE COMPANY DATE OF SERVICE TIME (
Z
A.M.
2. Duct and plenum covered w /correct nozzles Z
ANNUAL SEMI- AN RECHARGE INSTALLATION RENOVATION
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y r y OF °°% INC.
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p5800
SO. UNION
BAKERSHELD, CA 93307 -5426
661) 833 -5510 FAX 833 -5512
23. Proper separation between fryers & flame
5. Hood /duct penetrations sealed w /weld or UL device 24. Proper clearance -flame to filters
LOCATION OF SYSTEM CYLINDERS
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UL 300
aY s ONO
MANUFACTURERR O EL NUMBER WET DRY CHEMICAL
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8. Pressure gauge in proper range (If gauged) 27. Fuel shut -off in on position
CYLINDffri MASTER CYLINDER SIZE SLAVE
28. Manual & remote set/seals in place
CYLINDER SIZE SLAVE
10. Hydrostatic test date
SIZE
U ICS l
FUSE LINKS 360° F.' FUSEL KS 450' F. FUSE LINKS 500° F OTHER
CUSTOMER
Name
Cc ! S CJi e t
32. Clean cylinder & mount
FUEL SHUT -OFF ELECTRIC GAS SIZE
Address, 3 t yi P4 4) 2
34. Personnel instructed in manual operation of system
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City C'.t I tl State ZIP '7k
SERIAL NUMBER
17. Clean nozzles
LAST HYDRO TEST DATE
36. Portable extinguishers properly serviced
LAST ECHARGE DATE
18. Proper nozzle covers in place
MANUFACTURER'S MANUAL REFERENCE
Telephone Z Store No.
NOTE DISCREPANICES OR DEFICIENCIES BELOW
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COMMENTS: i i0 Ac.
n PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager "p, rffe
COnKING APPI IANCF / OrATION.S- I FFT Tn RIGHT
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1. All appliances properly covered w /correct nozzles Z 20. Replaced fuse links
2. Duct and plenum covered w /correct nozzles
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.
SERVICE TECHNICIAN PERMIT NO. ATE: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to s indicted on this report.
AUTHORITY HAV[lma J UMSDICTIOM
1. All appliances properly covered w /correct nozzles Z 20. Replaced fuse links
2. Duct and plenum covered w /correct nozzles Z 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 23. Proper separation between fryers & flame
5. Hood /duct penetrations sealed w /weld or UL device 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 33. Fan warning sign on hood
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
19. Check fuse links and clean NOTE DISCREPANICES OR DEFICIENCIES BELOW
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COMMENTS: i i0 Ac. P ( i? F'-T
T`fG n
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.
SERVICE TECHNICIAN PERMIT NO. ATE: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to s indicted on this report.
AUTHORITY HAV[lma J UMSDICTIOM