HomeMy WebLinkAbout4044 MING AVENUEPre - Engineered Restaurant Fire Suppression Systems Report
SERVICE COMPANY
AAA ClUt"11TV f INC.
DATE OF SERVICE
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TIME .
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A.M. P.M.
ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS UL 300
5800 SO. UNION
BAKERSFIELD, CA 93307 -5426
601) 833 -5510 FAX 833 -5512
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MANUFACTURER MODEL NUMBER -F--/WET DRY CHEMICAL
CYLINDER SIZE MASTER CYLINDE SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360° F.
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FUSE LINKS 450° F FUSE LINKS 500° F. OTHER
Name
CUSTOMER
t'p t -PCIMI (( 241
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Address i i% LI ! ! , i A1 i lir
FUEL SHUT -OFF ELECTRIC
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GAS SIZE
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y SERIAL NUMBER LAST HYDROTEST DATE LAST RECHARGE DATE
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City ,1 t F ! i State ZIP
t MANUFACTURER'S MANUAL REFERENCE
Telephone Store No.
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
i1; V 1 r MI i A J A
1. All appliances properly covered w /correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w /correct nozzles 1 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 EF 23. Proper separation between fryers & flame
5. Hood /duct penetrations sealed w /weld or UL device _J_ 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 improper range (If gauged) 27. Fuel shut -off in on position T-
9. Check cartridge weight (If applicable) 28. Manual & remote set/seals in place y
10. Hydrostatic test date 29. Replace systems covers
11. 6 year maintenance date 1 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
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NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS: !-1. caP `,. ILA
On this date, this pre - engineered 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 wiA; tie result , sindicated above.
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SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM USTOMER'S AUTHORIZED AGENT
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The above service technician certifies that the system was personally inspected and found condi ions to be as indicated on this report.
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