HomeMy WebLinkAbout4201 STINE ROAD (2)Pre - Engineered Restaurant Fire Suppression Systems Deport
SERVICE COMPANY
AAA WALITY SERVICES, INC.
5800 SO. UNION
BAKEE-RS FIELD, CA 93307 -5426
G (661) 833 -5510 FAX 833 -5512
I 1CUSTOMtR
Name
Address t r) 0 ( s +,, NP Rd-
City )15 x ef- t, ) State ZIP
Telephone Store No.
Owner or Manager T( -1 i . , to i 'IQ'
COOKING APPLIANCE LOCATIONS: LEFT TO'RIGHT
DATE OF SERVICE TIME , -- A.M. P.M.
2. Duct and plenum covered w /correct nozzles 21. Check travel'of cable nuts /S -hooks
ANNUAL SEMI - ANNUAL RECHARGE INSTALLATION RENOVATION
LOCATION OF SYSTEM CYLINDERS UL 300
0 YES NO
25. Exhaust fan in operating order
MANUFACTURER MODEL NUMBER WET DRY CHEMICAL
8. Pressure gauge in proper range (If gauged) Fuel shut -off in on position
9. Check cartridge weight (If applicable)
10. Hydrostatic test date
28. Manual & remote set/seals in place
29. Replace systems covers
CYLINDER SIZE MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE
30. System operational & seals in place
12. Inspect cylinder and mount 31. Slave system operational
FUSE LINKS360° F FUSE LINKS 450° F FUSE LINKS 500° F. OTHER
FUEL SHUT -OFF ELECTRIC GAS SIZE
15. Check operation of micro switch I i-' 34. Personnel instructed in manual operation of system
16. Check operation of gas valve it 35. Proper hand portable extinguishers i
SERIAL NUMBER LAST"
jHY,
DRO TEST DATE LAST RECHARGE DATETd't ' I L
MANUFACTURER'S MANUAL REFERENCE
PAGE NUMBER: DRAWING NUMBER: DATE
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
3. Check positioni6g of all nozzles.
a \ 1 .
4. System tall\ed In accordance w /MFG UL listing
5. Hood /duct penetrations sealed w /weld or UL device
i 22. Piping & conduit securely bracketed
23. Proper separation between fryers & flame
24. Proper clearance -flame to filters
t
6. Check if seals intact, evidence of tampering 25. Exhaust fan in operating order c
7. If system has been discharged, report same 26: All filters in place
8. Pressure gauge in proper range (If gauged) Fuel shut -off in on position
9. Check cartridge weight (If applicable)
10. Hydrostatic test date
28. Manual & remote set/seals in place
29. Replace systems covers
11. 6 year maintenance date I 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 r
15. Check operation of micro switch I i-' 34. Personnel instructed in manual operation of system
16. Check operation of gas valve it 35. Proper hand portable extinguishers i17. 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
COMMENTS:
d
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.
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X V , Vf; - I ! v t, 1 1 s,, _. ,
SERVICE TECHNICIAN PERMIT NO. DATE: 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.
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