HomeMy WebLinkAbout4128 CHESTER AVENUE (2)Range Hood sys,ems Report
SERVICE COMPANY-' DATE OF SE VICE TIME A.M. P.M.
ANNUAL SEM -ANN RECHARGE INSTALLATION RENOVATION
y,pA C pIlITY p
pp'
p`' INC. AAA 45'300 SO. UNION
BAKLERCF ECLD, CA 93307 -5426
681) 833. -5510 FAX 833 -5512
LOCATION SYSTEM(YLINDERS / i
II
G
UL 300
XES QNO
MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
FUSE LINKS 360' F. FUSE LINKS 450' F. FUSE LINKS 500° F. OTHER
CUSTOMER
Name n y- ()..fn i r 5s
Address_ f7 9 f Y
FUEL SHUT-OFF ELECTRIC GAS SIZE
City State _%ZIPf
SERIAL NUMBER LAST HYDROTEST DATE LAST RECHARGE DATE
Telephone X 2 Z/ Store No.
r
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager
COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT
1. All 2kpliances properly covered w /corry t Vzles
2. Duct and plenum covered w /correct noAlase -
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 peen 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:
T
41 11
T
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 tofilters
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.
SF- HV(0) =ihE- HNIGIAN '71' PERMIT NO. 'DATE: A lispectedME: AM ,PM GUS I UMLH "5 A0I HUHIZEU ACULN I
The ab`oie service technician certifies that the system was persolly and found conditions to be as indicated on this report.