HomeMy WebLinkAbout4128 CHESTER AVENUE (5)Pre - Engineered Restaurant Fire Suppression Systems Report
SERVICE COMPANY DATE OF SERVICE
i - Y' , Q /
TIME
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A.M. P.M.
ANNUAL SEMI - ANNUAL RECHARGE INSTA LATION RENOVATION
21. Check travel of cable nuts /S -hooks V
3. Check positioning of all nozzles.
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4. System installed in accordance w /MFG UL listing
LOCATION OF SYSTEM CYLINDERS UL 300
OYES ONOJ800SO. UNION
SAKERSFIELD, CA 93307 -5425 L
24. Proper clearance -flame to filters
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WET DRY CHEMICAL
x,01) 833 -5510 FAX 833-5512
CCYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
8. Pressure gauge in proper range (If gauged) A 27. Fuel shut -off in on position
i FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 11'1 OTHER
CUST9MER
Name S C v
29. Replace systems covers
11. 6 year maintenance date 30. System operational & seals in place
FUEL SHU FF ELECTRIC GAS SIZE
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13. Operate system from terminal link 32. Clean cylinder & mount
Address ,
y 33. Fan warning sign on hood L
15. Check operation of micro switch
SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE
City State 7 /. ZIP(
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35. Proper hand portable extinguishers
17. Clean nozzles
C% / / ) MANUFACTURER'S MANUAL REFERENCE
Telephone l. l.I / (P "J(a(
p Store No.
18. Proper nozzle covers in place
PAGE NUMBER: DRAWING NUMBER: DATE
Owner or Manager 7 k"7 /"
COOKING APPLIANCE LOCAT ONS: LEFT TO RIGHT
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 with the results indicated above.
ImL, RV CE TECHNICIAN PERMIT NO. DA E: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
AUTHORITY HAVING JURISDICTION
1. All appliances properly covered w /correct nozzles 20. Replaced fuse links
2. Duct and plenum covered w /correct nozzles 21. Check travel of cable nuts /S -hooks V
3. Check positioning of all nozzles. 22. Piping & conduit securely bracketed bl
4. System installed in accordance w /MFG UL listing 23. Proper separation between fryers & flame 1
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) A 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 y 33. Fan warning sign on hood L
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 LILL NOTE DISCREPANICES OR DEFICIENCIES BELOW
COMMENTS:
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 with the results indicated above.
ImL, RV CE TECHNICIAN PERMIT NO. DA E: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
AUTHORITY HAVING JURISDICTION